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General NPI Number Information
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NPI Number | 1053772624
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Entity Type | Individual
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Provider Name | DINAH DZIOLEK LPC-S
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Gender | Female
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Dates
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Enumeration Date | 03/10/2016
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 623 STATE HIGHWAY 46 E
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City | BOERNE
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State | TX
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Zip | 78006-5757
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Country | US
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Telephone | 888-623-8890
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Fax | 844-654-0224
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Provider Business Mailing Address
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Address Line | 522 MYSTIC PKWY
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City | SPRING BRANCH
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State | TX
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Zip | 78070-5285
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Country | US
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Telephone | 888-623-8890
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Fax | 844-654-0224
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | T-0179831
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2021049363
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-20797
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 80062
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License Number State | TX
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