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General NPI Number Information
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NPI Number | 1003373135
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Entity Type | Individual
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Provider Name | KATHLEEN SAMMANN LMFT-A
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Gender | Female
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 13706 N HIGHWAY 183 STE 114
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City | AUSTIN
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State | TX
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Zip | 78750-1838
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Country | US
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Telephone | 512-649-7050
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Fax |
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Provider Business Mailing Address
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Address Line | 7711 WOLVERINE ST
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City | AUSTIN
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State | TX
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Zip | 78757-1549
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 202979
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License Number State | TX
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