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General NPI Number Information
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NPI Number | 1114068491
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Entity Type | Individual
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Provider Name | ASHA PATEL DEVASIA M. S., LPC, LPA
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Gender | Female
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 1 CHISHOLM TRAIL RD STE 450
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City | ROUND ROCK
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State | TX
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Zip | 78681-5094
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Country | US
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Telephone | 512-763-0592
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Fax | 877-583-4222
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Provider Business Mailing Address
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Address Line | 8028 WHITWORTH LANE
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City | ROUND ROCK
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State | TX
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Zip | 78681
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Country | US
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Telephone | 512-769-7511
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 18156
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License Number State | TX
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