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General NPI Number Information
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NPI Number | 1932474871
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Entity Type | Individual
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Provider Name | SHARON L. PULATTIE LMFT, LCDC
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Gender | Female
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Dates
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Enumeration Date | 03/10/2012
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Last Update Date | 03/10/2012
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Provider Practice Location Address
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Address Line | 2508 WILLIAMS DR STE 225
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City | GEORGETOWN
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State | TX
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Zip | 78628-3235
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Country | US
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Telephone | 512-843-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 420 KATY XING
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City | GEORGETOWN
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State | TX
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Zip | 78626-4728
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Country | US
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Telephone | 512-869-2995
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 8948
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4903
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License Number State | TX
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