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General NPI Number Information
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NPI Number | 1750080412
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Entity Type | Individual
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Provider Name | ASHLEY DRAKE MERTZ LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 134 EL CHICO TRL
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City | WILLOW PARK
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State | TX
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Zip | 76087-8861
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Country | US
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Telephone | 817-458-8112
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 36
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City | WEATHERFORD
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State | TX
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Zip | 76086-0036
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | AL
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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 |
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License Number State | TX
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