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General NPI Number Information
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NPI Number | 1104048990
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Entity Type | Individual
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Provider Name | MICHELLE LYNN HEWARD LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 7701 N. LAMAR BLVD SUITE 206
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City | AUSTIN
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State | TX
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Zip | 78752
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Country | US
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Telephone | 512-694-8931
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Fax |
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Provider Business Mailing Address
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Address Line | 7603 BELLFLOWER CV
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City | AUSTIN
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State | TX
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Zip | 78759-6420
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Country | US
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Telephone | 512-694-8931
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 33541
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License Number State | TX
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