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General NPI Number Information
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NPI Number | 1063229623
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Entity Type | Individual
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Provider Name | ERICA GAD CT
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 10861 YANKEE ST
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City | CENTERVILLE
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State | OH
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Zip | 45458-3574
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Country | US
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Telephone | 937-619-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 3095 KETTERING BLVD
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City | MORAINE
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State | OH
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Zip | 45439-1983
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Country | US
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Telephone | 937-293-8300
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.2406360-TRNE
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License Number State | OH
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