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General NPI Number Information
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NPI Number | 1164544854
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Entity Type | Individual
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Provider Name | VERONICA ANGELICA LEAL LPC
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 3103 BEE CAVE RD SUITE 125
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City | AUSTIN
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State | TX
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Zip | 78746-5586
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Country | US
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Telephone | 512-994-0676
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 HONEY TREE LN
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City | AUSTIN
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State | TX
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Zip | 78746-6742
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Country | US
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Telephone | 512-373-5442
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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 | 66299
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License Number State | TX
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