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General NPI Number Information
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NPI Number | 1205386075
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Entity Type | Individual
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Provider Name | CARTRENNA LAYNE LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 2716 BARTON CREEK BLVD APT 1021
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City | AUSTIN
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State | TX
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Zip | 78735-1672
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Country | US
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Telephone | 512-517-9362
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 METROPOLIS DR
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City | AUSTIN
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State | TX
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Zip | 78744-3111
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Country | US
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Telephone | 512-823-4678
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 62973
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License Number State | TX
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