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General NPI Number Information
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NPI Number | 1316957079
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Entity Type | Individual
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Provider Name | DANIEL LEE STOBER LPC
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 01/13/2016
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Provider Practice Location Address
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Address Line | 821 W 11TH ST
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City | AUSTIN
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State | TX
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Zip | 78701-2009
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Country | US
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Telephone | 512-636-4858
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Fax | 512-842-7424
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Provider Business Mailing Address
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Address Line | PO BOX 355
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City | BUDA
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State | TX
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Zip | 78610-0355
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Country | US
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Telephone | 512-636-4858
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Fax | 512-842-7424
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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 | 17433
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License Number State | TX
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