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General NPI Number Information
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NPI Number | 1861894636
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Entity Type | Individual
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Provider Name | ERIN AVIRETT PHD
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Gender | Female
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 1619 S KENTUCKY ST STE A510
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City | AMARILLO
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State | TX
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Zip | 79102-2291
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Country | US
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Telephone | 806-513-2008
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Fax | 806-410-1669
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Provider Business Mailing Address
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Address Line | PO BOX 20260
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City | AMARILLO
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State | TX
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Zip | 79114-2260
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Country | US
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Telephone | 806-513-2008
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 36755
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 70120
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 36755
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License Number State | TX
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