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General NPI Number Information
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NPI Number | 1356711592
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Entity Type | Organization
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Legal Business Name | ALAMO FAMILY SERVICES
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Dates
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Enumeration Date | 09/30/2015
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Last Update Date | 09/30/2015
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Provider Practice Location Address
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Address Line | 2819 WOODCLIFFE ST
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5143
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Country | US
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Telephone | 210-753-1035
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Fax | 210-362-1377
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Provider Business Mailing Address
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Address Line | 2819 WOODCLIFFE ST
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5143
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Country | US
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Telephone | 210-753-1035
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Fax | 210-362-1377
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Authorized Official
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Title or Position | LPC
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Name | LORRAINE E ORTIZ
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Credential | MASTER LEVEL
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Telephone | 210-753-1035
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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 | 17270
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License Number State | TX
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