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General NPI Number Information
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NPI Number | 1073966750
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Entity Type | Organization
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Legal Business Name | RHONDA GILCHRIST MA LPC
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 3000 JOE DIMAGGIO BLVD BUILDING 17 SUITE 62
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City | ROUND ROCK
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State | TX
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Zip | 78665-3922
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Country | US
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Telephone | 512-363-3307
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 S ASH CV
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City | HUTTO
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State | TX
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Zip | 78634-5542
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Country | US
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Telephone | 512-363-3307
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RHONDA GILCHRIST
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Credential | MA LPC
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Telephone | 512-363-3307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 62404
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License Number State | TX
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