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General NPI Number Information
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NPI Number | 1023330206
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Entity Type | Organization
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Legal Business Name | AUSTIN BILINGUAL COUNSELORS
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Dates
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Enumeration Date | 02/16/2010
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 5901 MOUNTAIN VILLA DR
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City | AUSTIN
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State | TX
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Zip | 78731-3754
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Country | US
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Telephone | 512-825-5337
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Fax |
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Provider Business Mailing Address
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Address Line | 5901 MOUNTAIN VILLA DR
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City | AUSTIN
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State | TX
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Zip | 78731-3754
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Country | US
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Telephone | 512-825-5337
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Fax |
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Authorized Official
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Title or Position | PROPRIETOR
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Name | CHRISTINA M SUSTAETA
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Credential |
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Telephone | 512-825-5337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 59801
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License Number State | TX
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