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General NPI Number Information
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NPI Number | 1124669007
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Entity Type | Individual
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Provider Name | ARIEL PATRICE SMITH PHD
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Gender | Female
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 1200 BINZ ST STE 270
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City | HOUSTON
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State | TX
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Zip | 77004-6925
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Country | US
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Telephone | 877-800-5722
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Fax |
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Provider Business Mailing Address
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Address Line | 205 E UNIVERSITY AVE STE 200
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City | GEORGETOWN
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State | TX
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Zip | 78626-6821
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Country | US
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Telephone | 877-800-5722
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 38248
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License Number State | TX
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