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General NPI Number Information
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NPI Number | 1316239650
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Entity Type | Individual
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Provider Name | NATASHA JUSTO LPC-S
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Gender | Female
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 4131 SPICEWOOD SPRINGS RD STE 1
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City | AUSTIN
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State | TX
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Zip | 78759-8661
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Country | US
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Telephone | 512-815-5589
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Fax | 512-430-1370
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Provider Business Mailing Address
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Address Line | 403 GEYSER AVE
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-4019
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Country | US
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Telephone | 512-740-9365
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Fax | 512-430-1370
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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 | 65619
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License Number State | TX
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