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General NPI Number Information
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NPI Number | 1598486375
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Entity Type | Individual
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Provider Name | DOLORES ANNETTE ITUARTE VALENZUELA LPC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 250 THUNDERBIRD DR STE 5
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City | EL PASO
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State | TX
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Zip | 79912-3915
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Country | US
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Telephone | 915-307-7598
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Fax | 915-975-8223
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Provider Business Mailing Address
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Address Line | 6731 CAMINO FUENTE DR
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City | EL PASO
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State | TX
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Zip | 79912-2409
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Country | US
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Telephone | 915-309-3622
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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 | 81455
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License Number State | TX
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