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General NPI Number Information
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NPI Number | 1588354765
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Entity Type | Organization
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Legal Business Name | ARBOURWAY PLLC
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 1005 MARLANDWOOD RD STE 115
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City | TEMPLE
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State | TX
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Zip | 76502-3331
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Country | US
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Telephone | 254-791-3810
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 MARLANDWOOD RD STE 115
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City | TEMPLE
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State | TX
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Zip | 76502-3331
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Country | US
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Telephone | 254-791-3810
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Fax | 254-342-2791
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Authorized Official
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Title or Position | CO-OWNER
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Name | TAMARA ANNE AQUINO
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Credential | LPC
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Telephone | 254-791-3810
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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