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General NPI Number Information
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NPI Number | 1992117808
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Entity Type | Organization
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Legal Business Name | CYNDIE FORD PURDY, LMHC
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 470 PLEASANT GROVE RD
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City | INVERNESS
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State | FL
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Zip | 34452-5746
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Country | US
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Telephone | 352-341-0435
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Fax | 352-341-1562
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Provider Business Mailing Address
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Address Line | 470 PLEASANT GROVE RD
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City | INVERNESS
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State | FL
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Zip | 34452-5746
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Country | US
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Telephone | 352-341-0435
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Fax | 352-341-1562
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Authorized Official
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Title or Position | CLINICIAN/SOLE PROPRIETOR
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Name | MS. CYNDIE A FORD PURDY
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Credential | LMHC, NCC, MAC, SAP
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Telephone | 352-341-0435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH5401
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License Number State | FL
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