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General NPI Number Information
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NPI Number | 1003013053
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Entity Type | Individual
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Provider Name | KRISTIE DAWN ENGEL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 11701 BEE CAVES RD STE 213
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City | AUSTIN
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State | TX
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Zip | 78738-6468
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Country | US
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Telephone | 512-572-4673
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Fax | 512-355-6737
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Provider Business Mailing Address
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Address Line | PO BOX 2135
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City | CEDAR PARK
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State | TX
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Zip | 78630-2135
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Country | US
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Telephone | 512-572-4673
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Fax | 512-355-6737
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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 | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 33629
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 33629
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 33629
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License Number State | TX
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