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General NPI Number Information
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NPI Number | 1952262446
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Entity Type | Individual
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Provider Name | AUSTIN TYLER NICHOLS LPC
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Gender | Male
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 11701 FM 2244 RD STE 211
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City | AUSTIN
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State | TX
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Zip | 78738-6468
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Country | US
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Telephone | 512-738-7925
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1369
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City | SEGUIN
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State | TX
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Zip | 78156-1369
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Country | US
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Telephone | 512-738-7925
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 93026
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License Number State | TX
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