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General NPI Number Information
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NPI Number | 1811057466
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Entity Type | Individual
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Provider Name | MERRILY CREZNIC JONES MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13740 N HIGHWAY 183 SUITE U-4
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City | AUSTIN
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State | TX
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Zip | 78750-1884
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Country | US
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Telephone | 512-917-2777
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Fax |
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Provider Business Mailing Address
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Address Line | 11512 MISTY WHITE DR
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City | AUSTIN
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State | TX
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Zip | 78717-4466
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Country | US
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Telephone | 512-917-2777
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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 | 18267
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC000582
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License Number State | PA
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