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General NPI Number Information
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NPI Number | 1871006312
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Entity Type | Organization
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Legal Business Name | DAVE WOFFORD, PLLC
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 11/07/2017
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Provider Practice Location Address
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Address Line | 2525 WALLINGWOOD DR STE 900
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City | AUSTIN
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State | TX
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Zip | 78746-6930
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Country | US
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Telephone | 512-914-0131
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Fax |
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Provider Business Mailing Address
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Address Line | 11016 WHISKEY RIVER DR
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City | AUSTIN
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State | TX
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Zip | 78748-1869
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | JAMES DAVID WOFFORD JR.
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Credential |
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Telephone | 512-914-0131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 69982
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 69982
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 69982
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License Number State | TX
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