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General NPI Number Information
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NPI Number | 1124983929
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Entity Type | Individual
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Provider Name | ANA LUISA MARTIN
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Gender | Female
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 8000 WEST AVE STE 1
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City | SAN ANTONIO
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State | TX
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Zip | 78213-1837
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Country | US
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Telephone | 210-580-4149
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Fax | 325-267-7774
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Provider Business Mailing Address
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Address Line | PO BOX 782068
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City | SAN ANTONIO
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State | TX
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Zip | 78278-2068
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Country | US
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Telephone | 210-580-4149
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Fax | 325-267-7774
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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 | 88689
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License Number State | TX
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