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General NPI Number Information
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NPI Number | 1548129174
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Entity Type | Individual
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Provider Name | MIRIAM L ALONZO
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Gender | Female
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 14114 DALLAS PKWY STE 560
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City | DALLAS
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State | TX
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Zip | 75254-1343
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Country | US
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Telephone | 877-768-2770
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Fax |
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Provider Business Mailing Address
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Address Line | 12702 MEADOW GLEN TRL
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City | ROWLETT
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State | TX
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Zip | 75089-1425
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Country | US
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Telephone | 877-768-2770
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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 | 96933
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License Number State | TX
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