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General NPI Number Information
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NPI Number | 1467239103
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Entity Type | Organization
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Legal Business Name | HILL COUNTRY SCHOOL PSYCHOLOGY SERVICES
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 1705 ALGUNO RD
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City | AUSTIN
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State | TX
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Zip | 78757-3305
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Country | US
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Telephone | 512-470-0966
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 ALGUNO RD
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City | AUSTIN
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State | TX
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Zip | 78757-3305
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Country | US
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Telephone | 512-470-0966
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | KATE CURRAN MIRE
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Credential | LSSP
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Telephone | 512-470-0966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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