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General NPI Number Information
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NPI Number | 1457651556
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Entity Type | Individual
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Provider Name | MARIANA HOAR PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/24/2010
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 145 WESTERN TRL
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City | BUFFALO GAP
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State | TX
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Zip | 79508-1102
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Country | US
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Telephone | 940-765-0886
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 BERQUIST DR. STE 1 STE 1
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City | SAN ANTONIO
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State | TX
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Zip | 78236-9908
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Country | US
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Telephone |
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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 | 36370
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License Number State | TX
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