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General NPI Number Information
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NPI Number | 1255169058
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Entity Type | Individual
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Provider Name | DANIELLE ALVARADO
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Gender | Female
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 8627 CINNAMON CREEK DR STE 701
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1482
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Country | US
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Telephone | 210-680-4747
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Fax |
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Provider Business Mailing Address
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Address Line | 6708 TERRA RYE
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City | SAN ANTONIO
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State | TX
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Zip | 78240-2646
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 86642
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License Number State | TX
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