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General NPI Number Information
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NPI Number | 1497482897
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Entity Type | Individual
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Provider Name | KIRA ANLYN THURSTON
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Gender | Female
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2200 N A W GRIMES BLVD STE 600
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City | ROUND ROCK
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State | TX
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Zip | 78665-2745
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Country | US
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Telephone | 512-655-3104
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Fax | 833-955-3628
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Provider Business Mailing Address
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Address Line | 2200 N A W GRIMES BLVD STE 600
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City | ROUND ROCK
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State | TX
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Zip | 78665-2745
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Country | US
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Telephone | 512-655-3104
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Fax | 833-955-3628
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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 | 93704
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License Number State | TX
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