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General NPI Number Information
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NPI Number | 1366733214
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Entity Type | Individual
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Provider Name | MADEL MIRABAL GARCIA
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Gender | Female
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 8118 FRY RD STE 204
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City | CYPRESS
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State | TX
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Zip | 77433-7851
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Country | US
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Telephone | 979-459-8122
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Fax |
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Provider Business Mailing Address
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Address Line | 6410 GARDEN CANYON DR
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City | KATY
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State | TX
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Zip | 77449-4249
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Country | US
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Telephone | 702-684-2143
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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 | 109749
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License Number State | TX
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