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General NPI Number Information
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NPI Number | 1568787505
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Entity Type | Individual
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Provider Name | VERONICA MICHELLE BARAJAS
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Gender | Female
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 6300 GATEWAY BLVD E
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City | EL PASO
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State | TX
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Zip | 79905-2006
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Country | US
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Telephone | 915-599-8864
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Fax | 915-599-3021
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Provider Business Mailing Address
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Address Line | PO BOX 890008
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City | HOUSTON
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State | TX
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Zip | 77289-0008
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Country | US
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Telephone | 713-807-1500
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Fax | 713-527-8558
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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 | 66055
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License Number State | TX
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