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General NPI Number Information
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NPI Number | 1154107233
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Entity Type | Individual
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Provider Name | LILLY MAE RUTH ROSADO LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 17350 STATE HIGHWAY 249 STE 22017178
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City | HOUSTON
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State | TX
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Zip | 77064-1147
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Country | US
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Telephone | 832-301-9771
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Fax |
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Provider Business Mailing Address
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Address Line | 3724 DERBY TRL
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City | ROUND ROCK
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State | TX
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Zip | 78681-2321
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Country | US
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Telephone | 817-907-5670
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 204060
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License Number State | TX
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