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General NPI Number Information
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NPI Number | 1497159180
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Entity Type | Individual
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Provider Name | LORENZO TEIXEIRA LPCC
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Gender | Male
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 07/17/2019
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Provider Practice Location Address
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Address Line | 901 MORAGA RD STE D
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City | LAFAYETTE
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State | CA
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Zip | 94549-4567
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Country | US
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Telephone | 925-403-1349
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Fax | 925-298-5946
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Provider Business Mailing Address
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Address Line | 901 MORAGA RD STE D
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City | LAFAYETTE
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State | CA
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Zip | 94549-4567
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Country | US
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Telephone | 925-403-1349
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Fax | 925-298-5946
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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 | 3812
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License Number State | CA
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