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General NPI Number Information
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NPI Number | 1144173816
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Entity Type | Individual
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Provider Name | LANCE TYLER DEAN
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Gender | Male
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 115 N LOOP 1604 E
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1398
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Country | US
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Telephone | 726-268-0395
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Fax |
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Provider Business Mailing Address
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Address Line | 20549 WIND SPGS
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7457
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Country | US
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Telephone | 210-833-1885
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Fax | 210-833-1885
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 111478
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License Number State | TX
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