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General NPI Number Information
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NPI Number | 1457582025
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Entity Type | Individual
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Provider Name | ELIZABETH STANFIELD LPC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 04/05/2014
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Provider Practice Location Address
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Address Line | 3307 NORTHLAND DR SUITE 105
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City | AUSTIN
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State | TX
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Zip | 78731-4946
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Country | US
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Telephone | 512-743-7080
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Fax |
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Provider Business Mailing Address
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Address Line | 11505 CITRUS CV 247
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City | AUSTIN
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State | TX
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Zip | 78750-3672
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Country | US
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Telephone | 512-743-7080
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 62534
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 62534
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License Number State | TX
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