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General NPI Number Information
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NPI Number | 1316959158
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Entity Type | Organization
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Legal Business Name | BETTER PATHWAYS
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 405 50TH ST SUITE #17
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City | LUBBOCK
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State | TX
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Zip | 79404-3633
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Country | US
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Telephone | 806-777-7734
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Fax | 806-745-2285
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Provider Business Mailing Address
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Address Line | 405 50TH ST SUITE #17
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City | LUBBOCK
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State | TX
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Zip | 79404-3633
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Country | US
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Telephone | 806-745-0589
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Fax | 806-745-2285
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN GONZALEZ
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Credential | ED.D.
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Telephone | 806-777-7734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 25357
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License Number State | TX
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