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General NPI Number Information
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NPI Number | 1992343693
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Entity Type | Individual
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Provider Name | IRIS GIOVE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2019
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Last Update Date | 12/13/2019
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Provider Practice Location Address
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Address Line | JOHN PETER SMITH HOSPITAL 1500 S. MAIN ST.
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City | FORT WORTH
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State | TX
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Zip | 76104
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Country | US
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Telephone | 817-702-4788
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Fax |
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Provider Business Mailing Address
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Address Line | 104 SAN JOSE CT
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City | SUNLAND PARK
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State | NM
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Zip | 88063-9077
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Country | US
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Telephone | 717-434-3455
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 38399
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License Number State | TX
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