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General NPI Number Information
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NPI Number | 1326682196
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Entity Type | Individual
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Provider Name | DANIELLE CHERIE BALLIS SCOTT LPC
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Gender | Female
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Dates
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Enumeration Date | 11/04/2019
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 110 N INTERSTATE 35 STE 315 PMB 3311
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City | ROUND ROCK
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State | TX
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Zip | 78681-5022
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Country | US
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Telephone | 512-270-1918
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Fax | 512-727-7720
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Provider Business Mailing Address
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Address Line | 382 LEONA LN
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City | BAY CITY
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State | TX
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Zip | 77414-2096
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Country | US
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Telephone | 512-270-1918
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Fax | 512-727-7720
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 78426
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 78426
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 78426
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License Number State | TX
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