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General NPI Number Information
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NPI Number | 1679811236
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Entity Type | Organization
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Legal Business Name | NORTH STAR COUNSELING SERVICES
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Dates
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Enumeration Date | 01/16/2013
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 1001 TWIN CREEK DR
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-2849
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Country | US
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Telephone | 512-251-5338
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Fax | 512-692-2785
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Provider Business Mailing Address
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Address Line | 400 W MAIN ST 218
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City | ROUND ROCK
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State | TX
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Zip | 78664-5808
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Country | US
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Telephone | 512-251-5338
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Fax | 512-692-2785
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | THOMAS JOSEPH DUNN SR.
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Credential |
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Telephone | 512-251-5338
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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 | 10204
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License Number State | TX
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