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NPI 1649458555

NPI 1649458555 : ARMANDO MEDRANO JR. MS, LPC : WESLACO, TX

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General NPI Number Information
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    NPI Number           |    1649458555
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    Entity Type          |    Individual 
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    Provider Name        |    ARMANDO MEDRANO JR. MS, LPC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/01/2008
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    Last Update Date     |    12/20/2021
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Provider Practice Location Address
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    Address Line         |    203 VALENCIA 
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    City                 |    WESLACO
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    State                |    TX
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    Zip                  |    78596-5504
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    Country              |    US
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    Telephone            |    956-373-3849
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    203 VALENCIA 
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    City                 |    WESLACO
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    State                |    TX
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    Zip                  |    78596-5504
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    Country              |    US
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    Telephone            |    956-373-3849
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    Fax                  |    956-686-6363
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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       |    62062
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    License Number State |    TX
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