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General NPI Number Information
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NPI Number | 1295686483
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Entity Type | Individual
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Provider Name | VANESSA LEI TREVINO
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Gender | Female
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 17110 HOUSE HAHL RD STE C-9
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City | CYPRESS
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State | TX
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Zip | 77433-8610
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Country | US
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Telephone | 832-422-8356
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Fax |
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Provider Business Mailing Address
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Address Line | 5114 FM 1017 UNIT A
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City | SAN ISIDRO
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State | TX
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Zip | 78588-1523
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Country | US
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Telephone | 956-777-1582
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 117982
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License Number State | TX
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