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General NPI Number Information
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NPI Number | 1154943462
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Entity Type | Individual
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Provider Name | LYNDSAY BROOKS PSYD
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Gender | Female
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 05/09/2020
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Provider Practice Location Address
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Address Line | 4110 GUADALUPE ST
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City | AUSTIN
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State | TX
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Zip | 78751-4223
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Country | US
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Telephone | 512-452-0381
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Fax |
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Provider Business Mailing Address
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Address Line | 3507 N LAMAR BLVD # 301528
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City | AUSTIN
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State | TX
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Zip | 78705-1108
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Country | US
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Telephone | 817-966-9705
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 30372
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License Number State | CA
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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 | 38314
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License Number State | TX
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