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General NPI Number Information
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NPI Number | 1205319928
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Entity Type | Individual
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Provider Name | KELLIE YVONNE CURRERI PHD
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Gender | Female
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Dates
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Enumeration Date | 09/09/2018
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 1506 N GREENVILLE AVE STE 200
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City | ALLEN
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State | TX
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Zip | 75002-8693
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Country | US
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Telephone | 972-333-2912
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 BITTERN DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-4613
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Country | US
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Telephone | 972-333-2912
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 32012
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License Number State | TX
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