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General NPI Number Information
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NPI Number | 1598969925
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Entity Type | Organization
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Legal Business Name | NORMA LOPEZ
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1500 S ZARZAMORA ST #129
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City | SAN ANTONIO
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State | TX
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Zip | 78207-7210
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Country | US
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Telephone | 210-224-1100
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Fax | 210-224-1102
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Provider Business Mailing Address
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Address Line | 165 W RAMPART DR #802
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City | SAN ANTONIO
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State | TX
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Zip | 78216-6775
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Country | US
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Telephone | 210-979-0542
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. NORMA LOPEZ
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Credential | PSY.D.
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Telephone | 210-224-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3-1752
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License Number State | TX
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