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General NPI Number Information
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NPI Number | 1083949606
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Entity Type | Organization
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Legal Business Name | PFLIPSEN ENTERPRISES
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Dates
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Enumeration Date | 10/15/2009
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | 9901 IH 10 W SUITE 800
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City | SAN ANTONIO
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State | TX
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Zip | 78230-2246
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Country | US
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Telephone | 210-302-8226
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Fax | 210-641-0545
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Provider Business Mailing Address
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Address Line | P.O. BOX 40097
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City | SAN ANTONIO
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State | TX
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Zip | 78229
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Country | US
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Telephone | 210-302-8226
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Fax | 210-641-0545
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. RYAN MATTHEW PFLIPSEN
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Credential | LCSW
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Telephone | 210-302-8226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 31883
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License Number State | TX
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