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General NPI Number Information
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NPI Number | 1831447689
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Entity Type | Organization
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Legal Business Name | NEW LIFE COUNSELING CENTER, PLLC
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 3000 JOE DIMAGGIO BLVD STE 88
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City | ROUND ROCK
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State | TX
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Zip | 78665-3992
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Country | US
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Telephone | 512-238-1700
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Fax | 512-255-0090
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Provider Business Mailing Address
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Address Line | 3000 JOE DIMAGGIO BLVD STE 88
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City | ROUND ROCK
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State | TX
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Zip | 78665-3992
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Country | US
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Telephone | 512-238-1700
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Fax | 512-255-0090
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEAH WILSON MCDILL
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Credential | PH.D.
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Telephone | 512-964-3653
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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 |
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License Number State |
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