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General NPI Number Information
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NPI Number | 1225322787
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Entity Type | Individual
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Provider Name | DORA ANN CISNEROS LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 3850 FM 2920 RD
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City | SPRING
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State | TX
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Zip | 77388-4123
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Country | US
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Telephone | 281-528-2810
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Fax |
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Provider Business Mailing Address
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Address Line | 26325 NORTHGATE CROSSING BLVD APT 812
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City | SPRING
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State | TX
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Zip | 77373-5641
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Country | US
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Telephone | 713-702-8873
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Fax | 713-583-9144
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 50914
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License Number State | TX
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