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General NPI Number Information
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NPI Number | 1184316283
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Entity Type | Organization
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Legal Business Name | DIANNA B. SUAREZ PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 2208 E 14TH ST
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City | AUSTIN
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State | TX
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Zip | 78702-1306
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Country | US
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Telephone | 512-839-4776
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Fax |
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Provider Business Mailing Address
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Address Line | 6206 ARNOLD DR # A
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City | AUSTIN
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State | TX
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Zip | 78723-3320
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Country | US
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Telephone | 512-839-4776
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | DIANNA B SUAREZ
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Credential | M.A.,LPC-ASSOCIATE
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Telephone | 512-839-4776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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