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General NPI Number Information
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NPI Number | 1184673329
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN PSYCHIATRY & COUNSELING, P.A.
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2304 COPPER RIDGE RD
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City | ARLINGTON
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State | TX
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Zip | 76006-2725
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Country | US
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Telephone | 817-385-5722
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Fax | 817-385-5723
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Provider Business Mailing Address
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Address Line | PO BOX 202209
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City | ARLINGTON
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State | TX
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Zip | 76006-8209
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Country | US
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Telephone | 817-385-5722
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Fax | 817-385-5723
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Authorized Official
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Title or Position | PRESIDENT
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Name | SURENDRA NATH GERA
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Credential | M.D.
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Telephone | 817-385-5722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | F8489
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License Number State | TX
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