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General NPI Number Information
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NPI Number | 1770629461
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Entity Type | Individual
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Provider Name | EARL W PURPER MFT
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 1414 S MILLER ST STE G
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City | SANTA MARIA
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State | CA
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Zip | 93454-6962
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Country | US
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Telephone | 805-938-5801
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1164
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City | SANTA MARIA
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State | CA
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Zip | 93456-1164
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Country | US
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Telephone | 805-938-5801
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 29408
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License Number State | CA
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