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General NPI Number Information
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NPI Number | 1164775359
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Entity Type | Individual
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Provider Name | SHELLEY ANN RIGGS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2012
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 1155 UNION CIR #311280 UNIVERSITY OF NORTH TEXAS DEPARTMENT OF PSYCHOLOGY
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City | DENTON
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State | TX
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Zip | 76203-5017
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Country | US
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Telephone | 940-565-2672
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Fax | 940-565-4682
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Provider Business Mailing Address
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Address Line | 308 OWEN OAKS DR
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City | LAKE DALLAS
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State | TX
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Zip | 75065-2387
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Country | US
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Telephone | 940-453-4278
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Fax | 940-565-4682
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 31892
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 31892
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 31892
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License Number State | TX
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