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General NPI Number Information
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NPI Number | 1063912368
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Entity Type | Individual
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Provider Name | BILLY LEE MYERS JR. LMFT-S
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Gender | Male
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 02/14/2018
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Provider Practice Location Address
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Address Line | 3400 KERBEY LN STE 206
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City | AUSTIN
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State | TX
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Zip | 78703-1455
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Country | US
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Telephone | 512-377-9092
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4600
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City | AUSTIN
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State | TX
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Zip | 78765-4600
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Country | US
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Telephone | 512-377-9092
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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 | 201183
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License Number State | TX
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