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General NPI Number Information
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NPI Number | 1669993291
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Entity Type | Individual
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Provider Name | FRANK ALLEN MALES III MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 13706 RESEARCH BLVD STE 211A
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City | AUSTIN
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State | TX
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Zip | 78750-1839
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Country | US
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Telephone | 512-431-0567
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Fax |
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Provider Business Mailing Address
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Address Line | 1903 OWENS LN
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City | LAGO VISTA
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State | TX
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Zip | 78645-2006
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Country | US
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Telephone | 512-431-0567
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 73423
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License Number State | TX
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