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General NPI Number Information
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NPI Number | 1154700037
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Entity Type | Individual
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Provider Name | DULCE ANAIS CARREON M.A. , LPC
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Gender | Female
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Dates
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Enumeration Date | 05/25/2015
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 5211 S MCCOLL RD STE B
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City | EDINBURG
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State | TX
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Zip | 78539-7835
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Country | US
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Telephone | 956-627-4874
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Fax | 956-348-0852
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Provider Business Mailing Address
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Address Line | PO BOX 537
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City | PHARR
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State | TX
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Zip | 78577-1609
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Country | US
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Telephone | 956-627-4874
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Fax | 956-348-0852
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 71014
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License Number State | TX
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