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General NPI Number Information
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NPI Number | 1184998957
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Entity Type | Individual
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Provider Name | NATALIE MARIE LOPEZ LPC
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Gender | Female
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Dates
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Enumeration Date | 02/27/2012
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 903 W. MARTIN MS #18-2
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City | SAN ANTONIO
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State | TX
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Zip | 78207
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Country | US
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Telephone | 210-358-9502
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Fax | 210-358-9575
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Provider Business Mailing Address
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Address Line | PO BOX 830048
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City | SAN ANTONIO
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State | TX
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Zip | 78283-0048
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Country | US
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Telephone | 210-358-9502
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Fax | 210-358-9575
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 64951
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 64951
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 64951
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 64951
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License Number State | TX
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