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General NPI Number Information
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NPI Number | 1811324288
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Entity Type | Individual
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Provider Name | SANDRA R RANKIN PHD, LPC, LPCC
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Gender | Female
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 01/28/2015
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Provider Practice Location Address
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Address Line | 4131 SPICEWOOD SPRINGS RD STE L-4
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City | AUSTIN
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State | TX
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Zip | 78759-8661
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Country | US
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Telephone | 512-590-0500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 816
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City | CEDAR PARK
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State | TX
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Zip | 78630-0816
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Country | US
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Telephone | 512-590-0500
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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 | 14867
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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 | 1620
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License Number State | KY
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