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General NPI Number Information
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NPI Number | 1629027636
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Entity Type | Individual
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Provider Name | MICHAELE ANN BRYSON L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 207 S. DIXON STREET
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City | GAINESVILLE
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State | TX
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Zip | 76240
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Country | US
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Telephone | 940-665-8056
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Fax | 940-665-8057
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Provider Business Mailing Address
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Address Line | P.O. BOX 1416
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City | GAINESVILLE
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State | TX
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Zip | 76241-1416
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Country | US
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Telephone | 940-665-8056
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Fax | 940-665-8057
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6541
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | L.P.C.6541
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License Number State | TX
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