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General NPI Number Information
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NPI Number | 1609651629
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Entity Type | Individual
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Provider Name | BRIANNA AURORA VAZQUEZ MA, LPC, ATR
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Gender | Female
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1112 E COPELAND RD STE 420
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City | ARLINGTON
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State | TX
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Zip | 76011-1315
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Country | US
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Telephone | 817-631-0976
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Fax |
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Provider Business Mailing Address
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Address Line | 13870 PASEO CENTRAL AVE
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City | HORIZON CITY
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State | TX
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Zip | 79928-8440
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Country | US
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Telephone | 915-274-6292
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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 | 92087
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License Number State | TX
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