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NPI 1386588549

NPI 1386588549 : JERI ANN AZURE, PHD PLLC : BELCOURT, ND

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General NPI Number Information
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    NPI Number           |    1386588549
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    Entity Type          |    Organization 
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    Legal Business Name  |    JERI ANN AZURE, PHD PLLC 
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Dates
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    Enumeration Date     |    04/17/2026
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    Last Update Date     |    04/17/2026
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Provider Practice Location Address
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    Address Line         |    9775 BIA ROAD 9 FL 2 
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    City                 |    BELCOURT
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    State                |    ND
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    Zip                  |    58316-2807
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    Country              |    US
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    Telephone            |    701-477-0483
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    Fax                  |    701-477-0488
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1149 
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    City                 |    BELCOURT
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    State                |    ND
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    Zip                  |    58316-1149
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    Country              |    US
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    Telephone            |    701-477-0483
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    Fax                  |    701-477-0488
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Authorized Official
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    Title or Position    |    CLINICAL PSYCHOLOGIST/OWNER
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    Name                 |    DR. JERI ANN AZURE 
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    Credential           |    PHD
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    Telephone            |    701-477-0483
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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       |    
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    License Number State |    
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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       |    
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    License Number State |    
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