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General NPI Number Information
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NPI Number | 1790016061
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Entity Type | Individual
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Provider Name | JEREMY N SPROTT L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2010
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Last Update Date | 05/08/2024
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Provider Practice Location Address
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Address Line | 16710 STONESIDE DR
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City | HOUSTON
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State | TX
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Zip | 77095-6514
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Country | US
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Telephone | 832-464-5131
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Fax | 832-201-8679
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Provider Business Mailing Address
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Address Line | 16710 STONESIDE DR
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City | HOUSTON
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State | TX
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Zip | 77095-6514
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Country | US
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Telephone | 832-464-5131
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Fax | 832-201-8679
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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 | 61915
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License Number State | TX
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