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General NPI Number Information
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NPI Number | 1427681469
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Entity Type | Individual
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Provider Name | MANUEL E VARELA PSYD
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Gender | Male
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 03/30/2020
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Provider Practice Location Address
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Address Line | 7272 WURZBACH RD STE 601
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City | SAN ANTONIO
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State | TX
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Zip | 78240-4803
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Country | US
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Telephone | 305-747-4609
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Fax |
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Provider Business Mailing Address
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Address Line | 7272 WURZBACH RD
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City | SAN ANTONIO
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State | TX
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Zip | 78240-4801
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Country | US
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Telephone | 305-747-4609
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 10683
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 38473
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License Number State | TX
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