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General NPI Number Information
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NPI Number | 1548064157
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Entity Type | Individual
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Provider Name | MS. OKSANA PANCHENKO
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Gender | Female
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 8300 BLUFF SPRINGS RD APT 1331
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City | AUSTIN
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State | TX
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Zip | 78744-6879
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Country | US
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Telephone | 808-583-6399
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Fax | 808-583-6399
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Provider Business Mailing Address
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Address Line | 8300 BLUFF SPRINGS RD APT 1331
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City | AUSTIN
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State | TX
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Zip | 78744-6879
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Country | US
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Telephone | 808-583-6399
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Fax | 808-583-6399
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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 | 100436
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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 | MHC-1131
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License Number State | HI
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