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General NPI Number Information
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NPI Number | 1306504741
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Entity Type | Individual
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Provider Name | LAUREN A GILES LPC
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Gender | Female
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Dates
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Enumeration Date | 12/02/2021
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 2501 THORNTON RD APT 1306
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City | AUSTIN
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State | TX
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Zip | 78704-5588
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Country | US
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Telephone | 361-880-0616
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Fax |
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Provider Business Mailing Address
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Address Line | 3005 S LAMAR BLVD STE D-88
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City | AUSTIN
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State | TX
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Zip | 78704-8864
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Country | US
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Telephone | 361-880-0616
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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 | 82750
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License Number State | TX
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