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General NPI Number Information
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NPI Number | 1205978319
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Entity Type | Organization
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Legal Business Name | EL PASO COUNSELING CENTER OF EXPRESSIVE ARTS PC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 03/02/2017
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Provider Practice Location Address
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Address Line | 1600 MEDICAL CENTER DR SUITE B1
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City | EL PASO
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State | TX
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Zip | 79902-5002
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Country | US
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Telephone | 915-845-3122
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Fax | 915-845-4165
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Provider Business Mailing Address
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Address Line | 1600 MEDICAL CENTER DR SUITE B1
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City | EL PASO
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State | TX
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Zip | 79902-5002
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Country | US
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Telephone | 915-845-3122
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Fax | 915-845-4165
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Authorized Official
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Title or Position | OWNER
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Name | LEAH MILLER
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Credential | LPC-S, LMFT, RPT-S
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Telephone | 915-845-3122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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