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General NPI Number Information
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NPI Number | 1891345880
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Entity Type | Individual
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Provider Name | BRITTANY TYRRELL LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 9501 N CAPITAL OF TEXAS HWY STE 201
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City | AUSTIN
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State | TX
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Zip | 78759-7250
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Country | US
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Telephone | 512-578-8070
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Fax |
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Provider Business Mailing Address
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Address Line | 13201 LEGENDARY DR APT 8207
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City | AUSTIN
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State | TX
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Zip | 78727-4039
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Country | US
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Telephone | 617-771-5888
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 225972
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 104684
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 104684
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License Number State | TX
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