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General NPI Number Information
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NPI Number | 1336184639
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Entity Type | Individual
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Provider Name | KAREN T GEHLE PH.D., BCBA-D
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Gender | Female
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 886 E LENNON DR STE 105
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City | EMORY
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State | TX
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Zip | 75440-3246
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Country | US
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Telephone | 903-474-4015
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Fax | 903-473-2007
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Provider Business Mailing Address
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Address Line | 2138 N STATE HIGHWAY 19
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City | EMORY
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State | TX
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Zip | 75440-4361
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Country | US
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Telephone | 903-474-4015
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Fax | 903-473-2007
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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 | 22307
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License Number State | TX
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