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General NPI Number Information
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NPI Number | 1306110648
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Entity Type | Individual
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Provider Name | ADAM SAUCEDA MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 12030 BANDERA RD STE 108J
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City | HELOTES
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State | TX
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Zip | 78023-4736
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Country | US
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Telephone | 210-853-0503
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Fax | 888-307-5350
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Provider Business Mailing Address
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Address Line | 8631 AUBERRY PATH
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City | HELOTES
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State | TX
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Zip | 78023-4482
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Country | US
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Telephone | 210-392-8402
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 66428
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License Number State | TX
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