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General NPI Number Information
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NPI Number | 1053346346
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Entity Type | Individual
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Provider Name | JOHN G DIMLER LPC, LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4204 GARDENDALE ST STE 203
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3132
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Country | US
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Telephone | 210-614-8452
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Fax | 210-614-8561
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Provider Business Mailing Address
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Address Line | 4204 GARDENDALE ST STE 203
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3132
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Country | US
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Telephone | 210-614-8452
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Fax | 210-614-8561
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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 | 14338
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 21650
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License Number State | TX
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