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General NPI Number Information
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NPI Number | 1316705395
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Entity Type | Individual
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Provider Name | ALICIA ANN ANG LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/13/2024
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 4425 S MOPAC EXPY BLDG 3
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City | AUSTIN
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State | TX
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Zip | 78735-6713
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Country | US
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Telephone | 512-578-8070
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Fax |
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Provider Business Mailing Address
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Address Line | 6601 ROTAN DR
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City | AUSTIN
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State | TX
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Zip | 78749-4007
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Country | US
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Telephone | 512-656-7164
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 112405
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License Number State | TX
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