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General NPI Number Information
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NPI Number | 1679072573
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Entity Type | Individual
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Provider Name | LORI SCOTT LPC
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Gender | Female
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 711 W 38TH ST STE C2
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City | AUSTIN
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State | TX
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Zip | 78705-1126
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Country | US
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Telephone | 512-829-8939
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Fax |
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Provider Business Mailing Address
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Address Line | 8560 RED WILLOW DR
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City | AUSTIN
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State | TX
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Zip | 78736-3039
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Country | US
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Telephone | 512-757-5060
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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 | 74251
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License Number State | TX
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