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General NPI Number Information
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NPI Number | 1720332760
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Entity Type | Individual
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Provider Name | MARGARET SUZANNE STEPHENS L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 4303 VICTORY DR
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City | AUSTIN
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State | TX
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Zip | 78704-7507
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Country | US
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Telephone | 512-652-0143
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Fax |
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Provider Business Mailing Address
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Address Line | 8309 SPRING VALLEY DR
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City | AUSTIN
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State | TX
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Zip | 78736-3028
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Country | US
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Telephone | 318-230-3239
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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 | 67000
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License Number State | TX
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