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General NPI Number Information
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NPI Number | 1033399936
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Entity Type | Individual
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Provider Name | SELIA F SERVIN-LOPEZ LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 03/21/2017
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Provider Practice Location Address
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Address Line | 1901 N ED CAREY DR STE 200
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City | HARLINGEN
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State | TX
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Zip | 78550-8343
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Country | US
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Telephone | 956-421-5708
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Fax | 956-412-0304
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Provider Business Mailing Address
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Address Line | 1901 N ED CAREY DR SUITE 200
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City | HARLINGEN
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State | TX
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Zip | 78550-8798
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Country | US
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Telephone | 956-421-5708
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000356
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License Number State | TX
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