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NPI 1134473747

NPI 1134473747 : CHERI ELIZABETH REEL LPC : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1134473747
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    Entity Type          |    Individual 
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    Provider Name        |    CHERI ELIZABETH REEL LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/04/2012
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    Last Update Date     |    11/04/2012
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Provider Practice Location Address
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    Address Line         |    1011 MEREDITH DR STE 5 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78748-3763
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    Country              |    US
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    Telephone            |    512-590-5511
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8002 W GATE BLVD UNIT B 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78745-6815
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    Country              |    US
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    Telephone            |    512-590-5511
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    67766
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    License Number State |    TX
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