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General NPI Number Information
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NPI Number | 1255486965
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Entity Type | Individual
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Provider Name | NANETTE F MCINTYRE L.P.C., N.C.C.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3012 S.W. 26TH AVENUE SUITE 700
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City | AMARILLO
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State | TX
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Zip | 79109
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Country | US
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Telephone | 806-331-4300
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Fax | 806-467-9332
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Provider Business Mailing Address
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Address Line | P.O. BOX 3893
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City | AMARILLO
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State | TX
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Zip | 79116-3893
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Country | US
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Telephone | 806-331-4300
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Fax | 806-467-9332
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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 | 15942
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License Number State | TX
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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 | 4265
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License Number State | NM
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