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General NPI Number Information
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NPI Number | 1619318078
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Entity Type | Organization
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Legal Business Name | E. E. O., PC
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 07/15/2013
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Provider Practice Location Address
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Address Line | 315 W NOLANA AVE SUITE C
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City | MCALLEN
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State | TX
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Zip | 78504-2541
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Country | US
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Telephone | 956-627-2487
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Fax | 956-627-3528
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Provider Business Mailing Address
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Address Line | 315 W NOLANA AVE SUITE C
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City | MCALLEN
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State | TX
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Zip | 78504-2541
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Country | US
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Telephone | 956-627-2487
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Fax | 956-627-3528
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. ENEDELIA OLIVAREZ
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Credential | LPC
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Telephone | 956-672-2487
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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 | 63265
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License Number State | TX
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