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General NPI Number Information
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NPI Number | 1174430128
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Entity Type | Individual
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Provider Name | ELIZABETH GILMORE
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Gender |
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 7418 JOHN SMITH DR STE 1105
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City | SAN ANTONIO
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State | TX
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Zip | 78229-6020
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Country | US
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Telephone | 210-369-9550
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Fax |
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Provider Business Mailing Address
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Address Line | 5803 UTSA BLVD APT 5204
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City | SAN ANTONIO
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State | TX
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Zip | 78249-1629
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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 |
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License Number State |
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