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General NPI Number Information
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NPI Number | 1215756846
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Entity Type | Individual
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Provider Name | PAULA A LYSSY M.A.
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Gender | Female
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 10434 US HIGHWAY 181 S
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City | FALLS CITY
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State | TX
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Zip | 78113-3000
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Country | US
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Telephone | 830-583-4426
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 473
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City | FALLS CITY
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State | TX
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Zip | 78113-0473
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Country | US
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Telephone | 830-583-4426
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 33063
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18469
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License Number State | TX
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