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General NPI Number Information
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NPI Number | 1285696088
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Entity Type | Individual
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Provider Name | KATHLEEN A HALL LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 13706 RESEARCH BLVD STE 211
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City | AUSTIN
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State | TX
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Zip | 78750-1839
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Country | US
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Telephone | 512-297-1102
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Fax | 866-300-4481
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Provider Business Mailing Address
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Address Line | 10607 DOUBLE SPUR LOOP
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City | AUSTIN
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State | TX
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Zip | 78759-6915
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Country | US
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Telephone | 512-297-1102
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Fax | 866-300-4481
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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 | 32573
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License Number State | TX
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