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General NPI Number Information
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NPI Number | 1245162700
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Entity Type | Individual
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Provider Name | ERIKA HEATHER TRICE
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 21 TAMAL VISTA BLVD STE 205
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City | CORTE MADERA
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State | CA
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Zip | 94925-1147
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Country | US
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Telephone | 415-212-6478
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 337 ATTN: M GUTHRIE
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City | CORTE MADERA
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State | CA
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Zip | 94976
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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