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General NPI Number Information
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NPI Number | 1922579101
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Entity Type | Individual
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Provider Name | TIMOTHY LEE ABENDROTH MS, LMFT, CST
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Gender | Male
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 3006 BEE CAVES RD STE D300
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City | AUSTIN
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State | TX
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Zip | 78746-6735
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Country | US
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Telephone | 512-714-9698
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 W GUADALUPE ST APT B404
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City | AUSTIN
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State | TX
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Zip | 78751-2967
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Country | US
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Telephone | 920-229-3446
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 206000
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1481-124
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License Number State | WI
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