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General NPI Number Information
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NPI Number | 1700665999
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Entity Type | Individual
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Provider Name | KARINNA CANTU LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 15901 CENTRAL COMMERCE DR STE 104
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-2042
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Country | US
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Telephone | 866-495-1886
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Fax |
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Provider Business Mailing Address
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Address Line | 20612 CHRISTIE MARIE LN
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-6018
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Country | US
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Telephone | 512-897-3337
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 55582
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License Number State | TX
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