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General NPI Number Information
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NPI Number | 1184230682
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Entity Type | Organization
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Legal Business Name | NEW PATH OF COUNSELING
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Dates
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Enumeration Date | 09/20/2020
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 11467 HUEBNER RD STE 251
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City | SAN ANTONIO
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State | TX
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Zip | 78230-1073
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Country | US
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Telephone | 210-683-4313
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Fax | 833-620-0519
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Provider Business Mailing Address
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Address Line | 11467 HUEBNER RD STE 251
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City | SAN ANTONIO
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State | TX
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Zip | 78230-1073
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Country | US
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Telephone | 210-683-4313
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Fax | 833-620-0519
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MANIJEH SIMMONS
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Credential | MS
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Telephone | 210-683-4313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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