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General NPI Number Information
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NPI Number | 1255292561
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Entity Type | Individual
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Provider Name | JACQUELYN GRACE ROBLES
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Gender | Female
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 3701 W BUSINESS 83
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City | HARLINGEN
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State | TX
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Zip | 78552-3556
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Country | US
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Telephone | 833-777-9247
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Fax |
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Provider Business Mailing Address
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Address Line | 6117 CRESTWAY AVE
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City | HARLINGEN
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State | TX
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Zip | 78552-0211
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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 |
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License Number State |
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