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General NPI Number Information
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NPI Number | 1952079709
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Entity Type | Individual
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Provider Name | DEBORAH LYNN FERGUSON PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/04/2021
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Last Update Date | 09/04/2021
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Provider Practice Location Address
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Address Line | 110 ROCKLEIGH PL
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City | HOUSTON
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State | TX
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Zip | 77017-2516
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Country | US
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Telephone | 281-974-1378
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 OAK RIDGE RD
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City | WILLIS
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State | TX
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Zip | 77378-2864
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Country | US
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Telephone | 812-346-5689
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 1046381
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License Number State | TX
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