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General NPI Number Information
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NPI Number | 1750867883
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Entity Type | Individual
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Provider Name | JOSEPH DIAS M.ED., LPC-S
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Gender | Male
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 7701 N. LAMAR BLVD. SUITE 329
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City | AUSTIN
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State | TX
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Zip | 78752
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Country | US
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Telephone | 512-439-9808
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Fax |
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Provider Business Mailing Address
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Address Line | 7701 N. LAMAR BLVD. SUITE 329
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City | AUSTIN
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State | TX
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Zip | 78752
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Country | US
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Telephone | 512-439-9808
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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 | 65799
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License Number State | TX
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