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General NPI Number Information
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NPI Number | 1245079037
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Entity Type | Individual
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Provider Name | BOBBIE JO XAVIERA CARDENAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1515 S CAPITAL OF TEXAS HWY STE 300
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City | AUSTIN
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State | TX
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Zip | 78746-6544
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Country | US
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Telephone | 512-483-1421
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 S CAPITAL OF TEXAS HWY STE 300
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City | AUSTIN
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State | TX
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Zip | 78746-6544
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Country | US
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Telephone | 832-895-0098
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 59111
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License Number State | TX
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