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General NPI Number Information
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NPI Number | 1053126979
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Entity Type | Individual
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Provider Name | REBECCA THOMPSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2600 W STASSNEY LN
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City | AUSTIN
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State | TX
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Zip | 78745-3401
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Country | US
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Telephone | 512-729-8522
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Fax |
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Provider Business Mailing Address
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Address Line | 507 W MARTIN LUTHER KING DR
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City | SAN MARCOS
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State | TX
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Zip | 78666-5456
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Country | US
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Telephone | 706-247-1479
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 59867
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License Number State | TX
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