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General NPI Number Information
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NPI Number | 1174551451
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Entity Type | Individual
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Provider Name | ASA R SPHAR III PH.D., LPC, LMFT
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 11409 ARCHSTONE DR
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City | AUSTIN
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State | TX
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Zip | 78739-1907
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Country | US
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Telephone | 512-810-9022
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Fax | 512-301-5559
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Provider Business Mailing Address
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Address Line | 2499 S CAPITAL OF TEXAS HWY BUILDING A; SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78746-7762
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Country | US
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Telephone | 512-351-4933
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Fax | 512-301-5559
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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 | 1572
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 62915
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 201142
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License Number State | TX
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