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General NPI Number Information
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NPI Number | 1497084511
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Entity Type | Individual
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Provider Name | LILIANA M PALACIOS L.P.C
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Gender | Female
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Dates
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Enumeration Date | 12/19/2009
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Last Update Date | 05/30/2012
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Provider Practice Location Address
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Address Line | 326 S EDMONDS LN
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City | LEWISVILLE
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State | TX
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Zip | 75067-3580
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Country | US
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Telephone | 972-768-2472
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Fax |
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Provider Business Mailing Address
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Address Line | 326 S EDMONDS LN
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City | LEWISVILLE
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State | TX
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Zip | 75067-3580
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 64050
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License Number State | TX
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