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General NPI Number Information
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NPI Number | 1740579986
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Entity Type | Individual
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Provider Name | JULIANA HELEN O'BRIEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/28/2011
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 2499 S CAPITAL OF TEXAS HWY SUITE A-200
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City | AUSTIN
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State | TX
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Zip | 78746-7762
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Country | US
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Telephone | 512-327-0020
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Fax | 512-327-0030
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Provider Business Mailing Address
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Address Line | 1901 JENTSCH CT # A
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City | AUSTIN
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State | TX
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Zip | 78745-3192
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Country | US
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Telephone | 802-272-7139
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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 | 54862
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License Number State | TX
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