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General NPI Number Information
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NPI Number | 1215429154
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Entity Type | Individual
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Provider Name | HEATH MUHAMMAD LPC
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Gender | Male
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Dates
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Enumeration Date | 06/06/2018
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 595 ROUND ROCK WEST DR STE 304
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City | ROUND ROCK
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State | TX
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Zip | 78681-5030
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Country | US
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Telephone | 512-967-0931
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Fax | 512-883-5024
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Provider Business Mailing Address
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Address Line | 413 SWENSON FARMS BLVD APT 1135
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-5914
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Country | US
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Telephone |
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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 |
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License Number State |
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