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General NPI Number Information
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NPI Number | 1669337036
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Entity Type | Individual
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Provider Name | MARIA T SPADA
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 4009 BANISTER LN # 430
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City | AUSTIN
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State | TX
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Zip | 78704-7040
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Country | US
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Telephone | 737-208-1083
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Fax |
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Provider Business Mailing Address
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Address Line | 7804 TUSMAN DR
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City | AUSTIN
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State | TX
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Zip | 78735-1826
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 83903
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 83903
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License Number State | TX
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