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General NPI Number Information
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NPI Number | 1518373307
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Entity Type | Individual
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Provider Name | GABRIELA ILIANA NUNEZ PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 333 N SANTA ROSA
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3108
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Country | US
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Telephone | 210-704-0406
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Fax | 210-704-4637
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Provider Business Mailing Address
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Address Line | 333 N SANTA ROSA
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3108
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Country | US
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Telephone | 210-704-2068
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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 | 68729
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 39675
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License Number State | TX
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