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General NPI Number Information
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NPI Number | 1427531052
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 09/10/2018
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Provider Practice Location Address
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Address Line | 102 AVENUE J
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City | LUBBOCK
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State | TX
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Zip | 79401-1438
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Country | US
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Telephone | 806-765-8475
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Fax | 806-765-8630
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Provider Business Mailing Address
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Address Line | 102 AVENUE J
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City | LUBBOCK
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State | TX
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Zip | 79401-1438
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Country | US
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Telephone | 806-765-8475
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Fax | 806-765-8630
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Authorized Official
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Title or Position | DIRECTOR OF FAMILY COUNSELING
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Name | ANGELA LEE
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Credential | ED. D
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Telephone | 806-765-8475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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