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General NPI Number Information
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NPI Number | 1528210341
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Entity Type | Individual
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Provider Name | ROSIE C. MENDEZ L.P.C., L.C.D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/13/2008
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Last Update Date | 10/13/2008
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Provider Practice Location Address
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Address Line | 1206 CALVERT DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-2306
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Country | US
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Telephone | 214-558-2417
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 CALVERT DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-2306
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Country | US
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Telephone | 214-558-2417
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 60192
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License Number State | TX
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