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General NPI Number Information
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NPI Number | 1619044658
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Entity Type | Organization
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Legal Business Name | LYNETTE HESLET PHD PC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3700 N 10TH ST STE 309
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City | MCALLEN
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State | TX
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Zip | 78501
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Country | US
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Telephone | 956-994-9262
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Fax | 956-994-9261
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Provider Business Mailing Address
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Address Line | 3700 N 10TH ST STE 309
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City | MCALLEN
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State | TX
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Zip | 78501
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Country | US
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Telephone | 956-994-9262
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Fax | 956-994-9261
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Authorized Official
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Title or Position | PRESIDENT
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Name | LYNETTE WESLED
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Credential | PHD
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Telephone | 956-994-9262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | TX25600
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License Number State | TX
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