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General NPI Number Information
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NPI Number | 1003990375
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Entity Type | Individual
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Provider Name | MICHELLE ANN TARBELL LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 14205 N. BURNETT, SUITE 360
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City | AUSTIN
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State | TX
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Zip | 78728
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Country | US
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Telephone | 512-275-1285
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Fax | 512-275-1311
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Provider Business Mailing Address
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Address Line | 12113 METRIC BLVD APT. #1123
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City | AUSTIN
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State | TX
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Zip | 78758-8680
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Country | US
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Telephone | 512-203-4680
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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 | 5125
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License Number State | TX
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