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General NPI Number Information
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NPI Number | 1538335096
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Entity Type | Individual
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Provider Name | MRS. ERICA OWEN ROSS
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Gender | Female
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 107 MEMORIAL DR
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City | PARIS
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State | TN
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Zip | 38242-5413
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Country | US
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Telephone | 731-641-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 790 NEW VALLEY RD
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City | GLEASON
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State | TN
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Zip | 38229-6900
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Country | US
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Telephone | 731-514-5268
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3185
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License Number State | TN
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