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NPI 1083147987

NPI 1083147987 : ANTHONY GALATEO GARZA LPC : MIDLAND, TX

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General NPI Number Information
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    NPI Number           |    1083147987
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONY GALATEO GARZA LPC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/06/2017
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    Last Update Date     |    04/06/2017
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Provider Practice Location Address
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    Address Line         |    1909 W WALL ST STE A 
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    City                 |    MIDLAND
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    State                |    TX
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    Zip                  |    79701-6570
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    Country              |    US
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    Telephone            |    432-653-2029
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2426 E 21ST ST 
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    City                 |    ODESSA
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    State                |    TX
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    Zip                  |    79761-1703
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    Country              |    US
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    Telephone            |    432-934-2026
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    69750
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    License Number State |    TX
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