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General NPI Number Information
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NPI Number | 1215186762
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Entity Type | Organization
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Legal Business Name | ALISON PELZ
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 604 W 9TH ST SUITE B
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City | AUSTIN
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State | TX
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Zip | 78701-2212
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Country | US
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Telephone | 512-293-5770
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Fax |
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Provider Business Mailing Address
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Address Line | 10608 AMES LN
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City | AUSTIN
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State | TX
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Zip | 78739-1533
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Country | US
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Telephone | 512-293-5770
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | ALISON K PELZ
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Credential | LCSW
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Telephone | 512-293-5770
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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 | 40198
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License Number State | TX
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