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NPI 1821312554

NPI 1821312554 : ELIZABETH ALFSON : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1821312554
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH ALFSON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/24/2010
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    Last Update Date     |    09/25/2022
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Provider Practice Location Address
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    Address Line         |    3307 NORTHLAND DR STE 325 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-4946
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    Country              |    US
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    Telephone            |    512-273-7276
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    Fax                  |    844-354-1866
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Provider Business Mailing Address
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    Address Line         |    3307 NORTHLAND DR STE 325 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-4946
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    Country              |    US
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    Telephone            |    512-273-7276
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    Fax                  |    844-354-1866
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    S3348
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    254372
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    License Number State |    MA
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