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General NPI Number Information
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NPI Number | 1366859837
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Entity Type | Individual
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Provider Name | MARK AWDYKOWYZ LPC
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Gender | Male
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 3313 KESTREL LORE CT
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-0001
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Country | US
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Telephone | 737-216-4391
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Fax |
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Provider Business Mailing Address
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Address Line | 105 DAVID DUVAL CT
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City | ROUND ROCK
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State | TX
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Zip | 78664-5814
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Country | US
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Telephone | 402-450-3207
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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 | LPC-1815
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License Number State | WY
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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 | 178.006500
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License Number State | IL
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