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General NPI Number Information
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NPI Number | 1194660324
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Entity Type | Individual
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Provider Name | MR. ERIC ROBERTSON
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Gender | Male
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 3307 NORTHLAND DR STE 470
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City | AUSTIN
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State | TX
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Zip | 78731-4943
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Country | US
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Telephone | 512-773-8803
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Fax |
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Provider Business Mailing Address
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Address Line | 4220 HILLSIDE DR
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City | LAGO VISTA
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State | TX
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Zip | 78645-6416
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Country | US
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Telephone | 512-773-8803
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 91775
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License Number State | TX
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