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General NPI Number Information
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NPI Number | 1679805964
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Entity Type | Individual
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Provider Name | CINDY L PERCY MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 02/11/2010
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Last Update Date | 02/11/2010
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Provider Practice Location Address
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Address Line | 455 N 8TH AVE HOLBROOK HIGH SCHOOL
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City | HOLBROOK
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State | AZ
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Zip | 86025-2334
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Country | US
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Telephone | 928-524-2815
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Fax | 928-524-3537
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Provider Business Mailing Address
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Address Line | 455 N 8TH AVE PO BOX 640
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City | HOLBROOK
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State | AZ
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Zip | 86025-2334
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Country | US
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Telephone | 928-524-2815
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Fax | 928-524-3537
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401001957
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License Number State | MI
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