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General NPI Number Information
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NPI Number | 1306848361
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Entity Type | Individual
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Provider Name | ALICIA PERRY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 28311 N MAIN ST STE 100
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City | DAPHNE
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State | AL
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Zip | 36526-7074
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Country | US
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Telephone | 251-625-6233
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Fax | 251-625-1482
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Provider Business Mailing Address
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Address Line | 11541 COUNTY ROAD 1
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City | FAIRHOPE
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State | AL
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Zip | 36532-5943
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Country | US
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Telephone | 251-625-6233
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Fax | 251-625-1482
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 3665
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1394
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License Number State | AL
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