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General NPI Number Information
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NPI Number | 1316678824
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Entity Type | Individual
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Provider Name | KAREM PABON-RODRIGUEZ LPCC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 4200 W MULEDEER DR APT A
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City | USAF ACADEMY
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State | CO
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Zip | 80840-1111
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Country | US
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Telephone | 787-473-5626
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Fax |
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Provider Business Mailing Address
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Address Line | 4200 W MULEDEER DR APT A
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City | USAF ACADEMY
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State | CO
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Zip | 80840-1111
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Country | US
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Telephone | 787-473-5626
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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 | 0019771
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License Number State | CO
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