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General NPI Number Information
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NPI Number | 1558286062
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Entity Type | Individual
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Provider Name | ZACHARY LUJAN MA IN COUNSELING
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Gender | Male
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 801 S BLISS AVE
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City | DUMAS
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State | TX
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Zip | 79029-4456
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Country | US
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Telephone | 806-922-9506
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Fax |
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Provider Business Mailing Address
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Address Line | 619 N MAPLE STREET PO BOX 332
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City | STRATFORD
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State | TX
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Zip | 79084
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Country | US
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Telephone | 806-685-0559
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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 | 102756
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License Number State | TX
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