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General NPI Number Information
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NPI Number | 1609167386
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Entity Type | Individual
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Provider Name | KRISSY RENEE WAPPLER LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 14001 BEE CAVE PKWY STE 100
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City | AUSTIN
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State | TX
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Zip | 78738-7173
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Country | US
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Telephone | 512-884-1277
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Fax |
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Provider Business Mailing Address
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Address Line | 803 LAKEWAY DR
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City | LAKEWAY
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State | TX
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Zip | 78734-4433
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Country | US
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Telephone | 512-884-1277
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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 | 54869
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 007472
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License Number State | CT
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