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General NPI Number Information
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NPI Number | 1699178806
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Entity Type | Individual
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Provider Name | BRANDY PRABUCKI
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Gender | Female
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 1919 NORTH LOOP W SUITE 130
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City | HOUSTON
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State | TX
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Zip | 77008-1374
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Country | US
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Telephone | 713-523-4333
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Fax | 713-523-4493
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Provider Business Mailing Address
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Address Line | 1919 NORTH LOOP W SUITE 130
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City | HOUSTON
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State | TX
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Zip | 77008-1374
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Country | US
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Telephone | 713-523-4333
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Fax | 713-523-4493
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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 | 71251
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License Number State | TX
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