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General NPI Number Information
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NPI Number | 1922287473
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Entity Type | Individual
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Provider Name | CHRISTIN K PRYOR PHD,LPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 7292 MANCHESTER RD
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City | SAINT LOUIS
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State | MO
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Zip | 63143-2438
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Country | US
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Telephone | 314-853-6805
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Fax | 314-909-9382
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Provider Business Mailing Address
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Address Line | 9904 OLD WARSON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63124-1030
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Country | US
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Telephone | 314-853-6805
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Fax | 314-909-9382
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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 | 2004030704
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License Number State | MO
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