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General NPI Number Information
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NPI Number | 1144736323
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Entity Type | Individual
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Provider Name | KATHERINE ANNE AFFLERBACH CSW
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Gender | Female
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Dates
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Enumeration Date | 12/25/2017
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 1430 COLLIER ST
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City | AUSTIN
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State | TX
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Zip | 78704-2911
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Country | US
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Telephone | 817-681-7120
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Fax |
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Provider Business Mailing Address
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Address Line | 3422 RUTH RD
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City | RICHLAND HILLS
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State | TX
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Zip | 76118-5846
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Country | US
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Telephone |
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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 | 54431
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License Number State | TX
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