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General NPI Number Information
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NPI Number | 1598076390
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Entity Type | Individual
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Provider Name | MICHAEL UEBEL PHD, LCSW
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Gender | Male
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Dates
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Enumeration Date | 06/25/2010
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 1901 VETERANS MEMORIAL DR CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM
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City | TEMPLE
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State | TX
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Zip | 76504
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Country | US
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Telephone | 512-433-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 METROPOLIS DR
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City | AUSTIN
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State | TX
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Zip | 78744-3111
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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 | 50047
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License Number State | TX
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