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General NPI Number Information
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NPI Number | 1174197388
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Entity Type | Individual
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Provider Name | ANA DELIA LOPEZ
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Gender | Female
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 8200 WILCREST DR STE 20
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City | HOUSTON
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State | TX
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Zip | 77072-4338
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Country | US
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Telephone | 346-570-2594
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Fax | 346-246-3777
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Provider Business Mailing Address
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Address Line | 2319 BLUE REEF DR
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City | KATY
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State | TX
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Zip | 77449-4798
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Country | US
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Telephone | 713-459-1944
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | TX
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