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General NPI Number Information
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NPI Number | 1346650736
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Entity Type | Organization
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Legal Business Name | OROZCO COUNSELING CENTER
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 05/06/2014
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Provider Practice Location Address
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Address Line | 4907 S JACKSON RD
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City | EDINBURG
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State | TX
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Zip | 78539-7204
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Country | US
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Telephone | 956-566-8475
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Fax |
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Provider Business Mailing Address
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Address Line | 4907 S JACKSON RD
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City | EDINBURG
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State | TX
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Zip | 78539-7204
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Country | US
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Telephone | 956-566-8475
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MIGUEL OROZCO
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Credential | LPC
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Telephone | 956-566-8475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 66012
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License Number State | TX
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