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General NPI Number Information
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NPI Number | 1215319769
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Entity Type | Individual
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Provider Name | MICHELLE MARSHALL APRN
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Gender | Female
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 4131 SPICEWOOD SPRINGS RD STE K7
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City | AUSTIN
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State | TX
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Zip | 78759-8600
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Country | US
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Telephone | 512-454-5716
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Fax | 512-454-6276
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Provider Business Mailing Address
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Address Line | 4131 SPICEWOOD SPRINGS RD STE K7
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City | AUSTIN
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State | TX
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Zip | 78759-8600
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Country | US
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Telephone | 512-454-5716
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Fax | 512-454-6276
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP136502
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 735583
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License Number State | TX
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