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General NPI Number Information
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NPI Number | 1568013860
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Entity Type | Individual
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Provider Name | JUAN JOSE CHAPA JR. MS, LPC, CCST
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Gender | Male
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 3202 W ALBERTA RD STE C
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City | EDINBURG
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State | TX
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Zip | 78539-9635
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Country | US
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Telephone | 956-215-1346
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Fax |
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Provider Business Mailing Address
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Address Line | 416 CARLISLE AVE APT 3
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City | EDINBURG
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State | TX
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Zip | 78539-3876
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Country | US
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Telephone | 956-731-9776
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 77491
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License Number State | TX
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