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General NPI Number Information
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NPI Number | 1316296262
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Entity Type | Individual
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Provider Name | DAVID S EATON LPC, LMHC, CCMHC
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Gender | Male
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 6333 DEZAVALA RD SUITE B101
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City | SAN ANTONIO
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State | TX
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Zip | 78249
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Country | US
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Telephone | 210-399-4838
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Fax |
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Provider Business Mailing Address
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Address Line | 515 MISSION VIEJO
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City | SAN ANTONIO
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State | TX
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Zip | 78232-2779
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Country | US
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Telephone | 910-574-1066
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 004166
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 80764
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License Number State | TX
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