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General NPI Number Information
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NPI Number | 1346014107
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Entity Type | Individual
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Provider Name | NANCY OHLENBUSCH LPC
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Gender | Female
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 8607 WURZBACH RD BLDG P100
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1281
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Country | US
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Telephone | 210-697-3300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15241
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City | SAN ANTONIO
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State | TX
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Zip | 78212-8441
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Country | US
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Telephone | 210-697-3300
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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 | 86033
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 86033
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License Number State | TX
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