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General NPI Number Information
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NPI Number | 1215056627
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Entity Type | Organization
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Legal Business Name | KLEINPETER & ASSOCIATES
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1901 MEDI PARK DR #1036
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City | AMARILLO
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State | TX
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Zip | 79106-2110
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Country | US
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Telephone | 806-352-5542
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 MEDI PARK DR #1036
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City | AMARILLO
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State | TX
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Zip | 79106-2110
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Country | US
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Telephone | 806-352-5542
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. SONIA LEA BALDERAZ
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Credential | M. ED., LP.C
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Telephone | 806-352-5542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 16469
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License Number State | TX
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