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General NPI Number Information
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NPI Number | 1205243359
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Entity Type | Organization
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Legal Business Name | SUITABLE SOLUTIONS THERAPY, PLLC
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 07/21/2014
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Provider Practice Location Address
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Address Line | 1102 W 6TH ST STE 200
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City | AUSTIN
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State | TX
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Zip | 78703-5304
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Country | US
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Telephone | 512-593-1445
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 SHAVANO DR
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City | AUSTIN
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State | TX
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Zip | 78749-6903
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Country | US
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Telephone | 512-593-1445
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTA KILBANE
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Credential | LCSW
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Telephone | 512-593-1445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 29457
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License Number State | TX
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