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General NPI Number Information
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NPI Number | 1194151266
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Entity Type | Organization
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Legal Business Name | LOURDES VALDES, PH.D., PLLC
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 26515 SANDY ARBOR LN
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City | KATY
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State | TX
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Zip | 77494-2372
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Country | US
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Telephone | 281-395-2575
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Fax |
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Provider Business Mailing Address
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Address Line | 26515 SANDY ARBOR LN
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City | KATY
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State | TX
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Zip | 77494-2372
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Country | US
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Telephone | 281-395-2575
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | LOURDES MARIA VALDES
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Credential | PH.D.
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Telephone | 281-395-2575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 31568
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License Number State | TX
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