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General NPI Number Information
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NPI Number | 1184244311
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Entity Type | Individual
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Provider Name | ANA GARCIA MED, LPC-INTERN, NCC
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Gender | Female
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 13810 CHAMPION FOREST DR
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City | HOUSTON
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State | TX
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Zip | 77069-1844
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Country | US
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Telephone | 713-231-6801
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Fax |
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Provider Business Mailing Address
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Address Line | 4515 FOUNTAINHEAD DR
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City | HOUSTON
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State | TX
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Zip | 77066-2632
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Country | US
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Telephone | 713-966-9355
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 83001
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License Number State | TX
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