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General NPI Number Information
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NPI Number | 1992390686
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Entity Type | Individual
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Provider Name | KARISSA LAVELLE DUNGY MSN, APRN, PMHNP- BC
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Gender | Female
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 4425 S MOPAC EXPY STE 502
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City | AUSTIN
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State | TX
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Zip | 78735
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Country | US
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Telephone | 210-557-0329
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Fax | 210-899-1221
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Provider Business Mailing Address
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Address Line | 4425 S MOPAC EXPY STE 205
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City | AUSTIN
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State | TX
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Zip | 78735-6711
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Country | US
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Telephone | 512-708-9477
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Fax | 210-899-1221
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1031595
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License Number State | TX
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