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General NPI Number Information
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NPI Number | 1689739799
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Entity Type | Individual
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Provider Name | JEFFREY GORDON PIXLER LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 1029 W CRAWFORD ST
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City | DENISON
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State | TX
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Zip | 75020-4329
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Country | US
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Telephone | 903-462-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 10410 S STATE HIGHWAY 115 LOT 13
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City | COLORADO SPRINGS
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State | CO
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Zip | 80926-9601
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Country | US
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Telephone | 719-217-1844
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33942
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 33942
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License Number State | TX
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