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General NPI Number Information
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NPI Number | 1972343283
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Entity Type | Individual
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Provider Name | ALICE ELIZABETH PERRYMAN MT-BC, LMT
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Gender | Female
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Dates
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Enumeration Date | 05/27/2024
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 105B S LOVERS LN
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City | GATESVILLE
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State | TX
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Zip | 76528-1810
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Country | US
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Telephone | 817-456-3048
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Fax | 254-304-0178
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Provider Business Mailing Address
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Address Line | 601 COUNTY ROAD 96
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City | PURMELA
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State | TX
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Zip | 76566-3080
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Country | US
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Telephone | 817-456-3048
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Fax | 254-304-0178
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT047988
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 040602
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License Number State |
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