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General NPI Number Information
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NPI Number | 1396901328
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Entity Type | Individual
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Provider Name | ELIZABETH SHANNON ARNOLD LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 1825 FORTVIEW RD STE. 112F
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City | AUSTIN
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State | TX
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Zip | 78704-7657
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Country | US
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Telephone | 512-633-5474
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Fax |
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Provider Business Mailing Address
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Address Line | 4441 SACRED ARROW DR
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City | AUSTIN
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State | TX
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Zip | 78735-6362
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Country | US
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Telephone | 512-633-5474
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 19553
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License Number State | TX
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