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General NPI Number Information
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NPI Number | 1699332940
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Entity Type | Individual
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Provider Name | LINDSEY RODRIGUEZ LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 05/22/2019
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Provider Practice Location Address
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Address Line | 1021 RR 620 S STE B
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City | LAKEWAY
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State | TX
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Zip | 78734-5611
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Country | US
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Telephone | 512-850-5116
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 FORDHAM CV
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City | AUSTIN
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State | TX
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Zip | 78723-1330
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Country | US
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Telephone | 940-268-8382
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 202867
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License Number State | TX
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