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General NPI Number Information
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NPI Number | 1841768827
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Entity Type | Organization
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Legal Business Name | LINDSEY LUCIUS LCSW
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 3400 KERBEY LN
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City | AUSTIN
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State | TX
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Zip | 78703-1455
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Country | US
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Telephone | 512-550-4785
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Fax |
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Provider Business Mailing Address
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Address Line | 6416 GARDEN ROSE PATH
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City | AUSTIN
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State | TX
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Zip | 78754-2155
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Country | US
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Telephone | 512-550-4785
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | LINDSEY LUCIUS
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Credential | LCSW
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Telephone | 512-550-4785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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