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General NPI Number Information
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NPI Number | 1659163871
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Entity Type | Individual
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Provider Name | AMIE M CLABAUGH M.ED.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 6448 E HWY 290 STE F102
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City | AUSTIN
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State | TX
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Zip | 78723-1042
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Country | US
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Telephone | 512-561-0609
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Fax |
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Provider Business Mailing Address
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Address Line | 522 E LAKESHORE DR
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City | SUNRISE BEACH
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State | TX
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Zip | 78643-9365
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Country | US
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Telephone | 512-517-0460
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | TX
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