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General NPI Number Information
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NPI Number | 1396523155
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Entity Type | Individual
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Provider Name | LISA NOOYEN MULLER
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Gender | Female
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Dates
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Enumeration Date | 09/21/2023
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 525 YALE ST APT 544
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City | HOUSTON
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State | TX
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Zip | 77007-2872
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Country | US
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Telephone | 281-827-6042
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Fax |
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Provider Business Mailing Address
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Address Line | 525 YALE ST APT 544
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City | HOUSTON
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State | TX
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Zip | 77007-2872
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Country | US
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Telephone | 281-827-6042
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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 | 8672-125
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License Number State | WI
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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 | 81715
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License Number State | TX
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