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General NPI Number Information
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NPI Number | 1124296751
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Entity Type | Individual
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Provider Name | ERICA COVER MA, LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/17/2008
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Last Update Date | 02/17/2008
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Provider Practice Location Address
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Address Line | 34975 N NORTH VALLEY PKWY STE 152
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City | PHOENIX
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State | AZ
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Zip | 85086-4032
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Country | US
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Telephone | 623-889-3400
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Fax | 623-889-3399
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Provider Business Mailing Address
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Address Line | 34975 N NORTH VALLEY PKWY STE 152
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City | PHOENIX
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State | AZ
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Zip | 85086-4032
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Country | US
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Telephone | 623-889-3400
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Fax | 623-889-3399
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 10261
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License Number State | AZ
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