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General NPI Number Information
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NPI Number | 1528482296
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Entity Type | Organization
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Legal Business Name | O'CANA LIFE WORKS, LLC
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Dates
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Enumeration Date | 02/14/2014
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Last Update Date | 02/14/2014
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Provider Practice Location Address
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Address Line | 13620 NW MILITARY HWY BLDG 3 SUITE 4
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City | SHAVANO PARK
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State | TX
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Zip | 78231-1875
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Country | US
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Telephone | 210-687-9711
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Fax | 210-568-4066
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Provider Business Mailing Address
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Address Line | 6423 RAMBLING TRAIL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78240-5503
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Country | US
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Telephone | 210-687-9711
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Fax | 210-568-4066
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Authorized Official
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Title or Position | OWNER
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Name | RHONDA MARIE O'CANA
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Credential | L.P.C.
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Telephone | 210-687-9711
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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 | 19165
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License Number State | TX
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