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General NPI Number Information
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NPI Number | 1922516103
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Entity Type | Organization
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Legal Business Name | AUSTIN WHOLE CHILD THERAPY
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 2525 WALLINGWOOD DR
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City | AUSTIN
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State | TX
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Zip | 78746-6900
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Country | US
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Telephone | 901-229-2832
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 302165
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City | AUSTIN
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State | TX
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Zip | 78703-0037
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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 | OWNER, THERAPIST
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Name | ELIZA SCHINDLER
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Credential | LCSW
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Telephone | 512-557-9216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 59980
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License Number State | TX
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