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General NPI Number Information
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NPI Number | 1083945869
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Entity Type | Individual
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Provider Name | ERIC CARDWELL PHD
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Gender | Male
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 320 JEFFERSON ST
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City | KERRVILLE
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State | TX
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Zip | 78028-4407
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Country | US
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Telephone | 830-739-8185
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Fax | 830-896-3772
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Provider Business Mailing Address
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Address Line | 320 JEFFERSON ST
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City | KERRVILLE
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State | TX
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Zip | 78028-4407
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Country | US
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Telephone | 830-739-8185
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Fax | 830-896-3772
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11724
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 38315
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License Number State | TX
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