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General NPI Number Information
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NPI Number | 1235741778
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Entity Type | Organization
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Legal Business Name | CAPITAL AREA PSYCHOLOGICAL & EVALUATION SERVICES, PLLC
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 1715 W FM 1626 STE 200
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City | MANCHACA
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State | TX
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Zip | 78652-3549
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Country | US
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Telephone | 512-222-8339
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Fax | 972-466-9463
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Provider Business Mailing Address
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Address Line | 1715 W FM 1626 STE 200
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City | MANCHACA
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State | TX
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Zip | 78652-3549
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Country | US
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Telephone | 512-222-8339
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Fax | 972-466-9463
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Authorized Official
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Title or Position | PSYCHOLOGIST, CO-DIRECTOR
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Name | DR. LAURA BETH FRAME
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Credential | L.P.
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Telephone | 512-222-8339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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