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General NPI Number Information
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NPI Number | 1720984115
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Entity Type | Individual
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Provider Name | JOHN BRUCE LPC
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Gender | Male
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Dates
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Enumeration Date | 10/14/2026
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Last Update Date | 10/14/2026
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Provider Practice Location Address
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Address Line | 216 PALOMA DR STE 110
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City | TEMPLE
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State | TX
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Zip | 76502-2296
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Country | US
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Telephone | 254-346-5442
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 SHADY LN
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City | BELTON
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State | TX
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Zip | 76513-4418
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Country | US
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Telephone | 254-346-5442
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 94485
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License Number State | TX
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