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General NPI Number Information
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NPI Number | 1184420481
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Entity Type | Individual
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Provider Name | ARICEL BORDAYO MS, LPC-A
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Gender | Female
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 3833 S STAPLES ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-5201
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Country | US
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Telephone | 361-852-9665
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Fax |
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Provider Business Mailing Address
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Address Line | 127 ZENNA DR
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City | MATHIS
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State | TX
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Zip | 78368-3408
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Country | US
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Telephone | 361-852-9665
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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 | 97783
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License Number State | TX
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