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General NPI Number Information
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NPI Number | 1669678827
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Entity Type | Organization
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Legal Business Name | YVONNE D GARCIA
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 219 S ABE ST
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City | SAN ANGELO
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State | TX
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Zip | 76903-6305
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Country | US
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Telephone | 325-655-7549
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Fax | 325-655-0182
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Provider Business Mailing Address
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Address Line | 219 S ABE ST
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City | SAN ANGELO
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State | TX
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Zip | 76903-6305
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Country | US
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Telephone | 325-655-7549
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Fax | 325-655-0182
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Authorized Official
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Title or Position | OWNER
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Name | MS. YVONNE D GARCIA
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Credential | MS
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Telephone | 325-655-7549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 13927
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 15255
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License Number State | TX
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