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General NPI Number Information
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NPI Number | 1972055234
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Entity Type | Individual
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Provider Name | JODA KAY MIURA LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 1001 CYPRESS CREEK ROAD SUITE 403
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City | CEDAR PARK
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State | TX
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Zip | 78613
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Country | US
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Telephone | 513-323-6994
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Fax | 512-323-9490
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Provider Business Mailing Address
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Address Line | 4820 MORESE PLACE TRAIL
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City | ROUND ROCK
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State | TX
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Zip | 78665
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Country | US
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Telephone | 859-519-0395
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 112085
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7934
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11112
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License Number State | TN
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