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General NPI Number Information
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NPI Number | 1548970890
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Entity Type | Individual
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Provider Name | AMANDA HARVEY LPC ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 8700 MENCHACA RD STE 804
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City | AUSTIN
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State | TX
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Zip | 78748-5379
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Country | US
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Telephone | 512-270-1489
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Fax |
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Provider Business Mailing Address
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Address Line | 108 CONCORD CIR
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City | AUSTIN
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State | TX
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Zip | 78737-9061
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Country | US
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Telephone | 512-689-3003
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 83710
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License Number State | TX
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