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General NPI Number Information
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NPI Number | 1083095673
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Entity Type | Individual
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Provider Name | KIMBERLY MAY LPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 02/07/2020
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Provider Practice Location Address
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Address Line | 4425 MOPAC SOUTH SUITE 600
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City | AUSTIN
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State | TX
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Zip | 78735
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Country | US
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Telephone | 512-914-0017
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Fax |
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Provider Business Mailing Address
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Address Line | 7305 ELM FOREST RD
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City | AUSTIN
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State | TX
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Zip | 78745-6209
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Country | US
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Telephone | 512-914-0017
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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 | 201453
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 65618
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License Number State | TX
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