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General NPI Number Information
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NPI Number | 1740412212
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Entity Type | Individual
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Provider Name | MONA PRICHARD MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 206 E. MAIN STREET
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City | GUSTINE
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State | TX
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Zip | 76455
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Country | US
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Telephone | 325-667-0037
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Fax |
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Provider Business Mailing Address
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Address Line | 7668 FM 932
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City | HAMILTON
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State | TX
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Zip | 76531-3166
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Country | US
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Telephone | 254-386-5694
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 63547
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License Number State | TX
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