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General NPI Number Information
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NPI Number | 1619332863
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Entity Type | Individual
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Provider Name | CRYSTAL DOMYNIQUE MARTIN M.ED.
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Gender | Female
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Dates
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Enumeration Date | 12/15/2015
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Last Update Date | 06/05/2016
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Provider Practice Location Address
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Address Line | 2009 N CONWAY AVE
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City | MISSION
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State | TX
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Zip | 78572-2965
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Country | US
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Telephone | 956-655-8987
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Fax |
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Provider Business Mailing Address
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Address Line | 513 CANARY AVE
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City | MCALLEN
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State | TX
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Zip | 78504-2747
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Country | US
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Telephone | 956-655-8987
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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 | 72973
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License Number State | TX
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