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General NPI Number Information
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NPI Number | 1528882784
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Entity Type | Individual
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Provider Name | EDGAR ARMANDO CONTRERAS JR. LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2025 GUADALUPE ST STE 260
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City | AUSTIN
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State | TX
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Zip | 78705-5642
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Country | US
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Telephone | 864-336-2731
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Fax | 833-740-3387
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Provider Business Mailing Address
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Address Line | 201 E 9TH ST
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City | DALLAS
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State | TX
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Zip | 75203-2229
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Country | US
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Telephone | 972-502-4003
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 68984
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License Number State | TX
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