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General NPI Number Information
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NPI Number | 1063293314
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Entity Type | Individual
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Provider Name | AUSTIN KANE WEBER
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Gender | Male
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 03/30/2025
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Provider Practice Location Address
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Address Line | 5541 MCNEIL DR
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City | AUSTIN
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State | TX
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Zip | 78729-7000
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Country | US
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Telephone | 512-655-3275
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Fax |
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Provider Business Mailing Address
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Address Line | 349 HIGH PLAINS PASS
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City | LIBERTY HILL
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State | TX
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Zip | 78642-2270
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Country | US
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Telephone | 512-655-3275
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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 | 205228
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License Number State | TX
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