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General NPI Number Information
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NPI Number | 1639364508
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Entity Type | Individual
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Provider Name | LAURA DENISE LOPEZ M.S. LPC
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Gender | Female
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 5449 BEAR LN STE 414
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City | CORPUS CHRISTI
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State | TX
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Zip | 78405-4124
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Country | US
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Telephone | 361-888-8834
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 271606
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City | CORPUS CHRISTI
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State | TX
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Zip | 78427-1606
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Country | US
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Telephone | 361-728-8161
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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 | 58907
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License Number State | TX
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