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General NPI Number Information
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NPI Number | 1992041354
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Entity Type | Individual
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Provider Name | VANESSA FALKENBERG GALLAGHER LPC-S
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Gender | Female
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Dates
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Enumeration Date | 12/12/2012
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 4009 BANISTER LN SUITE 356
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City | AUSTIN
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State | TX
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Zip | 78704-7040
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Country | US
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Telephone | 512-745-1957
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Fax | 512-306-8086
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Provider Business Mailing Address
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Address Line | 9402 HONEYCOMB DR
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City | AUSTIN
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State | TX
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Zip | 78737-1119
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Country | US
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Telephone | 512-745-1957
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Fax | 512-292-9388
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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 | 16052
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License Number State | TX
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