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General NPI Number Information
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NPI Number | 1508764804
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Entity Type | Individual
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Provider Name | MARILEE ELIZABETH-RENEA MAUZEY MA, LPC ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 10/27/2026
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Last Update Date | 10/27/2026
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Provider Practice Location Address
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Address Line | 2906 W 13TH ST
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City | BIG SPRING
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State | TX
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Zip | 79720-4063
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Country | US
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Telephone | 432-201-9892
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Fax |
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Provider Business Mailing Address
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Address Line | 110 W 7TH ST
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City | COLORADO CITY
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State | TX
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Zip | 79512-5508
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Country | US
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Telephone | 325-728-7034
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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 | 104081
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License Number State | TX
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