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NPI 1972676724

NPI 1972676724 : LUCINDA I. CECCHINI LPC : ROUND ROCK, TX

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General NPI Number Information
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    NPI Number           |    1972676724
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    Entity Type          |    Individual 
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    Provider Name        |    LUCINDA I. CECCHINI LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/17/2006
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    Last Update Date     |    01/18/2010
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Provider Practice Location Address
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    Address Line         |    400 W MAIN ST STE. 217
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    City                 |    ROUND ROCK
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    State                |    TX
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    Zip                  |    78664-5808
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    Country              |    US
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    Telephone            |    512-947-0633
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    Fax                  |    512-310-0490
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Provider Business Mailing Address
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    Address Line         |    3836 HARVEY PENICK DR 
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    City                 |    ROUND ROCK
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    State                |    TX
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    Zip                  |    78664-3953
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    Country              |    US
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    Telephone            |    512-947-0633
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    Fax                  |    512-310-0490
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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       |    12879
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    License Number State |    TX
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