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General NPI Number Information
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NPI Number | 1437570165
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Entity Type | Individual
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Provider Name | ARTREVISA PAYTON LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/23/2013
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 1409 ARGYLL PARK
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City | BULVERDE
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State | TX
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Zip | 78163-3517
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Country | US
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Telephone | 601-890-2678
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Fax | 210-960-9539
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Provider Business Mailing Address
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Address Line | 21750 HARDY OAK BLVD STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4946
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Country | US
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Telephone | 601-890-2678
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Fax | 210-960-9539
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 57715
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 57715
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License Number State | TX
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