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General NPI Number Information
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NPI Number | 1457587883
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Entity Type | Individual
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Provider Name | LISA DIANE KONECNY LPC
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Gender | Female
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Dates
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Enumeration Date | 05/29/2009
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Last Update Date | 05/29/2009
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Provider Practice Location Address
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Address Line | 1215 S. EXPRESSWAY 281 NEW BEGINNINGS
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-381-1189
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Fax | 956-381-1904
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Provider Business Mailing Address
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Address Line | P.O. BOX 1073
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City | WESLACO
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State | TX
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Zip | 78599
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Country | US
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Telephone | 956-532-6081
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 15314
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License Number State | TX
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