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General NPI Number Information
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NPI Number | 1164019519
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Entity Type | Individual
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Provider Name | MERCEDES PATRICIA RIOS LPC
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Gender | Female
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Dates
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Enumeration Date | 12/30/2020
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Last Update Date | 12/17/2022
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Provider Practice Location Address
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Address Line | 3418 TOWN AND COUNTRY RD
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City | SAN ANGELO
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State | TX
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Zip | 76903-9351
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Country | US
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Telephone | 325-653-4673
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Fax | 325-653-5045
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Provider Business Mailing Address
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Address Line | PO BOX 342
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City | LOCKNEY
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State | TX
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Zip | 79241-0342
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 80930
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 80930
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License Number State | TX
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