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General NPI Number Information
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NPI Number | 1558190827
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Entity Type | Individual
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Provider Name | MRS. ANNA KATE GUMBLE
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Gender | Female
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Dates
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Enumeration Date | 07/26/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 1710 RED RIVER ST
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City | AUSTIN
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State | TX
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Zip | 78712-1918
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Country | US
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Telephone | 806-290-3116
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Fax |
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Provider Business Mailing Address
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Address Line | 4131 SPICEWOOD SPRINGS RD STE G5
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City | AUSTIN
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State | TX
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Zip | 78759-8659
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Country | US
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Telephone | 512-985-9301
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Fax | 512-985-9281
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1169463
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License Number State | TX
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