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General NPI Number Information
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NPI Number | 1255504536
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Entity Type | Organization
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Legal Business Name | MARCOS P HOLTZMAN
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 1231 E LEVEE ST
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City | BROWNSVILLE
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State | TX
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Zip | 78520-5003
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Country | US
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Telephone | 956-982-4511
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Fax | 956-544-7949
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Provider Business Mailing Address
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Address Line | 1231 E LEVEE ST
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City | BROWNSVILLE
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State | TX
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Zip | 78520-5003
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Country | US
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Telephone | 956-982-4511
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Fax | 956-544-7949
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Authorized Official
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Title or Position | COUNSELOR
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Name | MR. MARCOS P HOLTZMAN
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Credential | LPC LCDC
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Telephone | 956-982-4511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 19277
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License Number State | TX
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