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General NPI Number Information
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NPI Number | 1811307796
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Entity Type | Organization
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Legal Business Name | TRP WELLNESS, PLLC
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 05/01/2014
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Provider Practice Location Address
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Address Line | 1907 N LAMAR BLVD 351
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City | AUSTIN
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State | TX
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Zip | 78705-4992
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Country | US
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Telephone | 512-981-5917
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Fax | 512-981-5917
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Provider Business Mailing Address
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Address Line | 1907 N LAMAR BLVD 351
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City | AUSTIN
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State | TX
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Zip | 78705-4992
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Country | US
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Telephone | 512-981-5917
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Fax | 512-981-5917
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Authorized Official
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Title or Position | OWNER
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Name | DR. SARAH RIVERS DEAL
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Credential | PH.D.
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Telephone | 512-981-5917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 19467
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License Number State | TX
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