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General NPI Number Information
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NPI Number | 1396969127
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Entity Type | Individual
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Provider Name | ELIZABETH LINDSAY GEHRMAN M.A., LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 2701 W BERRY ST SUITE 209
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City | FORT WORTH
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State | TX
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Zip | 76109-2360
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Country | US
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Telephone | 817-600-6814
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Fax | 817-441-6179
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Provider Business Mailing Address
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Address Line | 2701 W BERRY ST SUITE 209
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City | FORT WORTH
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State | TX
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Zip | 76109-2360
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Country | US
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Telephone | 817-600-6814
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Fax | 817-441-6179
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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 | 202028
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License Number State | TX
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