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General NPI Number Information
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NPI Number | 1194500934
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Entity Type | Individual
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Provider Name | ISAMAR SILVA
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Gender | Female
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 1601 E PFLUGERVILLE PKWY STE 3202
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-7349
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Country | US
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Telephone | 512-320-5785
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Fax |
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Provider Business Mailing Address
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Address Line | 150 KLATTENHOFF LN APT 3301
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City | HUTTO
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State | TX
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Zip | 78634-4604
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Country | US
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Telephone | 830-220-2044
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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 | 82550
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License Number State | TX
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