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General NPI Number Information
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NPI Number | 1851867337
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Entity Type | Individual
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Provider Name | DEBORAH B KERR MED, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 10/22/2018
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Provider Practice Location Address
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Address Line | 1009 N EARL RUDDER FWY
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City | BRYAN
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State | TX
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Zip | 77802-2959
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Country | US
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Telephone | 979-571-9552
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Fax |
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Provider Business Mailing Address
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Address Line | 10259 FERRILL CREEK RD
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City | BRYAN
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State | TX
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Zip | 77808-9242
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Country | US
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Telephone | 979-571-1762
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Fax | 888-248-0659
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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 | 74953
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License Number State | TX
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