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General NPI Number Information
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NPI Number | 1720327620
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Entity Type | Individual
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Provider Name | BRANDY AMOUR BANKS
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Gender | Female
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 9300 RESEARCH BLVD STE 320
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City | AUSTIN
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State | TX
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Zip | 78759-6569
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Country | US
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Telephone | 818-257-5245
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Fax |
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Provider Business Mailing Address
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Address Line | 9300 RESEARCH BLVD STE 320
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City | AUSTIN
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State | TX
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Zip | 78759-6569
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Country | US
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Telephone | 818-257-5245
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 39267
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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