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General NPI Number Information
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NPI Number | 1295362168
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Entity Type | Organization
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Legal Business Name | PLAY TO HEAL COUNSELING CENTER
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 6048 HIDDEN ACRES DR
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City | EL PASO
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State | TX
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Zip | 79924-2244
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Country | US
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Telephone | 712-491-5275
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Fax |
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Provider Business Mailing Address
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Address Line | 14780 TIM HARDAWAY DR
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City | EL PASO
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State | TX
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Zip | 79938-3139
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Country | US
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Telephone | 915-275-7124
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Fax | 915-581-7980
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERTA ABDO
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Credential | LPC
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Telephone | 915-275-7124
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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 |
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License Number State |
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