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General NPI Number Information
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NPI Number | 1396473690
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Entity Type | Individual
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Provider Name | ASHLEY THERESA GEERTS-PERRY PHD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2022
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Last Update Date | 08/13/2022
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Provider Practice Location Address
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Address Line | 9705 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75220-5441
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Country | US
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Telephone | 214-915-4766
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Fax |
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Provider Business Mailing Address
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Address Line | 11601 LAGO VIS W APT 1339
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-6815
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Country | US
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Telephone | 505-220-0937
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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