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General NPI Number Information
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NPI Number | 1548361884
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Entity Type | Organization
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Legal Business Name | MARY E HARPER
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/29/2008
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Provider Practice Location Address
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Address Line | 1066 EXECUTIVE PARKWAY DR STE 103
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City | SAINT LOUIS
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State | MO
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Zip | 63141-6340
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Country | US
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Telephone | 314-265-9424
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Fax | 888-331-0726
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Provider Business Mailing Address
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Address Line | 1066 EXECUTIVE PARKWAY DR STE 103
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City | SAINT LOUIS
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State | MO
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Zip | 63141-6340
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Country | US
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Telephone | 314-265-9424
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Fax | 888-331-0726
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. MARY E. HARPER
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Credential | MS
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Telephone | 314-265-9424
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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 | 2004009546
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2004028644
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License Number State | MO
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