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General NPI Number Information
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NPI Number | 1225539638
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Entity Type | Individual
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Provider Name | JONATHAN JOE CABALLERO LPC
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Gender | Male
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 5415 N MCCOLL RD STE 103
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City | MCALLEN
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State | TX
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Zip | 78504-4664
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Country | US
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Telephone | 956-225-3768
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 ASH DR
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City | WESLACO
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State | TX
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Zip | 78596-6717
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Country | US
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Telephone | 956-225-3768
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 74286
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 74286
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License Number State | TX
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