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General NPI Number Information
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NPI Number | 1184260861
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Entity Type | Individual
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Provider Name | BRYANA NUNEZ LPC
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Gender | Female
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Dates
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Enumeration Date | 11/18/2019
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 6928 TERRA RYE
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City | SAN ANTONIO
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State | TX
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Zip | 78240-2758
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Country | US
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Telephone | 432-269-8701
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 12198
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 210-263-1855
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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 | 82453
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License Number State | TX
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