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General NPI Number Information
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NPI Number | 1114510476
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Entity Type | Individual
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Provider Name | JEANETTE LOREDO LPC
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Gender | Female
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Dates
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Enumeration Date | 02/18/2021
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 2601 VETERAN DR
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City | HARLINGEN
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State | TX
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Zip | 78550
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Country | US
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Telephone | 956-536-1665
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Fax |
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Provider Business Mailing Address
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Address Line | 419 FRANKLIN ST
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City | SAN BENITO
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State | TX
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Zip | 78586-3455
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Country | US
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Telephone | 956-622-2012
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 80855
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License Number State | TX
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