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General NPI Number Information
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NPI Number | 1922325968
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Entity Type | Individual
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Provider Name | MERRY ASHLEY LIND PHD, LPC-S
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Gender | Female
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 04/30/2010
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Provider Practice Location Address
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Address Line | 3611 SWISS AVE
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City | DALLAS
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State | TX
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Zip | 75204-6245
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Country | US
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Telephone | 214-818-2600
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Fax | 214-823-4819
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Provider Business Mailing Address
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Address Line | 3611 SWISS AVE
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City | DALLAS
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State | TX
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Zip | 75204-6245
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Country | US
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Telephone | 214-818-2600
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Fax | 214-823-4819
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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 | 15478
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 15478
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 15478
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License Number State | TX
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