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General NPI Number Information
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NPI Number | 1013870724
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Entity Type | Organization
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Legal Business Name | JUNIPER THERAPY PLLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 10001 S 1ST ST APT 1334
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City | AUSTIN
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State | TX
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Zip | 78748-6850
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Country | US
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Telephone | 806-500-9133
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Fax |
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Provider Business Mailing Address
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Address Line | 3344 SHEIDY AVE
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City | READING
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State | PA
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Zip | 19605-1637
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARISA GONZALEZ
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Credential | LMFT
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Telephone | 806-500-9133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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