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General NPI Number Information
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NPI Number | 1578363289
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Entity Type | Individual
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Provider Name | NOOR ZIBDEH LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1213 W SLAUGHTER LN STE 130
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City | AUSTIN
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State | TX
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Zip | 78748-6904
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Country | US
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Telephone | 512-201-4501
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Fax |
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Provider Business Mailing Address
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Address Line | 13800 LYNDHURST ST UNIT 152
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City | AUSTIN
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State | TX
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Zip | 78717-0157
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 61832
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License Number State | TX
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