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General NPI Number Information
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NPI Number | 1326002015
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Entity Type | Individual
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Provider Name | ROSANNA XIMENES WEHRMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 2850 LEWIS LN PAVILION 1 SUITE 109
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City | PARIS
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State | TX
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Zip | 75462-2019
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Country | US
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Telephone | 903-782-9500
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Fax | 903-782-9550
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Provider Business Mailing Address
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Address Line | 2850 LEWIS LN PAVILION 1 SUITE 109
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City | PARIS
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State | TX
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Zip | 75460-9378
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Country | US
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Telephone | 903-782-9500
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Fax | 903-782-9550
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 154
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 09555
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2427
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 4515
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License Number State | TX
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