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General NPI Number Information
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NPI Number | 1609480854
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Entity Type | Individual
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Provider Name | LIZETTE VASQUEZ PINTO
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Gender | Female
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Dates
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Enumeration Date | 09/04/2020
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 25510 TOMBALL PKWY
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City | TOMBALL
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State | TX
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Zip | 77375-7730
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Country | US
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Telephone | 281-781-4375
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Fax |
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Provider Business Mailing Address
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Address Line | 18539 ROYAL MIST LN
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City | TOMBALL
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State | TX
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Zip | 77377-4089
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Country | US
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Telephone |
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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 | 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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