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General NPI Number Information
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NPI Number | 1891237053
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Entity Type | Organization
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Legal Business Name | AUSTIN INTERNATIONAL COUNSELING
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 13276 RESEARCH BLVD SUITE 203
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City | AUSTIN
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State | TX
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Zip | 78750-3236
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Country | US
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Telephone | 857-776-7042
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Fax |
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Provider Business Mailing Address
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Address Line | 13208 GREYBULL TRL
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City | AUSTIN
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State | TX
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Zip | 78729-7817
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Country | US
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Telephone | 857-869-9189
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CLAUDIA CARDENAS PINZON
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Credential | PSYD
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Telephone | 857-869-9189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 37136
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License Number State | TX
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