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General NPI Number Information
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NPI Number | 1487509717
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Entity Type | Individual
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Provider Name | ANNAMARIE LOPEZ
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Gender | Female
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 3901 AIRPORT FWY STE 107
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City | BEDFORD
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State | TX
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Zip | 76021-6117
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Country | US
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Telephone | 817-812-2880
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Fax |
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Provider Business Mailing Address
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Address Line | 6250 ROSEWOOD DR APT 2106
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-4978
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Country | US
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Telephone | 909-223-4173
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 206376
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License Number State | TX
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