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General NPI Number Information
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NPI Number | 1194103424
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Entity Type | Organization
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Legal Business Name | PSYCHOTHERAPY PRACTICE NATALIA GIAN M.S., LPC, PLLC
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 2306 LAKE AUSTIN BLVD
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City | AUSTIN
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State | TX
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Zip | 78703-4546
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Country | US
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Telephone | 512-289-9409
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Fax | 844-251-3277
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Provider Business Mailing Address
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Address Line | 2306 LAKE AUSTIN BLVD
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City | AUSTIN
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State | TX
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Zip | 78703-4546
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Country | US
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Telephone | 512-289-9409
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Fax | 844-251-3277
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | MRS. NATALIA GIAN BUCHANAN
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Credential | LPC
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Telephone | 512-289-9409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 62155
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License Number State | TX
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