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General NPI Number Information
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NPI Number | 1710029426
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Entity Type | Individual
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Provider Name | JERRI ANN VERITY M.ED., LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4177 CRESCENT DR SUITE D
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City | SAINT LOUIS
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State | MO
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Zip | 63129-1071
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Country | US
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Telephone | 314-680-8190
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Fax | 314-544-8189
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Provider Business Mailing Address
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Address Line | 2649 CAMINO DR
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City | SAINT LOUIS
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State | MO
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Zip | 63125-3812
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Country | US
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Telephone | 314-544-8189
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Fax | 314-544-8189
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 2002032137
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License Number State | MO
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