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General NPI Number Information
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NPI Number | 1598571598
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Entity Type | Individual
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Provider Name | LATONYIA ELAINE RENEE FLEMING LPC
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Gender | Female
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 300 S A W GRIMES BLVD APT 2306
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City | ROUND ROCK
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State | TX
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Zip | 78664-7804
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Country | US
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Telephone | 210-636-9007
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Fax |
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Provider Business Mailing Address
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Address Line | 300 S A W GRIMES BLVD APT 2306
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City | ROUND ROCK
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State | TX
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Zip | 78664-7804
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Country | US
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Telephone | 210-636-9007
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 1453772
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 91217
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License Number State | TX
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