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General NPI Number Information
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NPI Number | 1134616568
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Entity Type | Organization
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Legal Business Name | ALMA THERAPY
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 04/20/2018
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Provider Practice Location Address
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Address Line | 4101 MEDICAL PKWY STE 109
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City | AUSTIN
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State | TX
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Zip | 78756-3724
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Country | US
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Telephone | 210-836-4595
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 MEDICAL PKWY STE 109
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City | AUSTIN
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State | TX
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Zip | 78756-3724
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Country | US
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Telephone | 210-836-4595
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. JANETTE SALCEDO CORDERO
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Credential | LCSW
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Telephone | 210-836-4595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 56611
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License Number State | TX
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