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General NPI Number Information
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NPI Number | 1275062150
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Entity Type | Individual
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Provider Name | MARIANYS DELGADO ALAZO PMHNP
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Gender | Female
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 2103 RESEARCH FOREST DR BLDG 1 STE 175
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City | THE WOODLANDS
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State | TX
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Zip | 77380-4162
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Country | US
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Telephone | 844-824-8775
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Fax |
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Provider Business Mailing Address
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Address Line | 26493 E UNIVERSITY DR APT 1037
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City | AUBREY
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State | TX
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Zip | 76227-1671
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Country | US
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Telephone | 206-771-1667
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | SP020482
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP020482
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP132117
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License Number State | TX
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