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General NPI Number Information
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NPI Number | 1487495081
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Entity Type | Individual
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Provider Name | CALEY ANN GRIGGS LPC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 451 UNIVERSITY DR STE 201
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City | FORT WORTH
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State | TX
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Zip | 76107-2130
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Country | US
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Telephone | 682-233-4052
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Fax |
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Provider Business Mailing Address
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Address Line | 10605 BARRINGTON LN
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City | FORT WORTH
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State | TX
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Zip | 76126-1879
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Country | US
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Telephone | 720-343-9619
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 76266
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License Number State | TX
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