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General NPI Number Information
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NPI Number | 1174618482
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Entity Type | Individual
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Provider Name | NENA MICHELLE MCLIN LPC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1106 CLAYTON LN. 552 WEST
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City | AUSTIN
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State | TX
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Zip | 78723
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Country | US
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Telephone | 512-374-1959
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Fax |
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Provider Business Mailing Address
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Address Line | 5105 SHOAL CREEK BLVD.
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City | AUSTIN
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State | TX
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Zip | 78756
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Country | US
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Telephone | 512-451-5876
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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 | 10177
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License Number State | TX
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