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General NPI Number Information
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NPI Number | 1972988020
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Entity Type | Individual
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Provider Name | MARY FAYE FIELDS PSY.D, LP
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Gender | Female
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 2535 NORTH 200 EAST
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City | ANGOLA
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State | IN
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Zip | 46737
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Country | US
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Telephone | 260-705-5507
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Fax |
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Provider Business Mailing Address
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Address Line | 245 LANE 650B SNOW LK
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City | FREMONT
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State | IN
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Zip | 46737-9006
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Country | US
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Telephone | 260-705-5507
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810006368
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 5755
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License Number State | NC
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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 | PSY.0006894
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY-2025-0129
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 20043864A
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License Number State | IN
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