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General NPI Number Information
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NPI Number | 1033517040
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Entity Type | Individual
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Provider Name | SUDHA BANERJEE LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 3800 RUBEN TORRES SR BLVD STE 203
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City | BROWNSVILLE
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State | TX
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Zip | 78526-7449
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Country | US
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Telephone | 956-579-2346
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Fax | 956-899-2429
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Provider Business Mailing Address
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Address Line | 7013 N 3RD ST
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City | MCALLEN
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State | TX
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Zip | 78504-2285
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Country | US
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Telephone | 956-579-2346
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Fax | 956-899-2429
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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 | 203460
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License Number State | TX
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