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General NPI Number Information
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NPI Number | 1366120487
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Entity Type | Organization
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Legal Business Name | MA HILAS HEART PROJECT FOUNDATION
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 8426 FOUNTAIN CIR
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City | SAN ANTONIO
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State | TX
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Zip | 78229-2387
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Country | US
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Telephone | 210-281-5997
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Fax |
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Provider Business Mailing Address
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Address Line | 8426 FOUNTAIN CIR
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City | SAN ANTONIO
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State | TX
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Zip | 78229-2387
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Country | US
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Telephone | 210-281-5997
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. TAMMY CANTU PEREZ
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Credential | NCC, LCDC, LPC
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Telephone | 210-834-5017
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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 |
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License Number State |
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