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General NPI Number Information
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NPI Number | 1669711560
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Entity Type | Organization
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Legal Business Name | MBC MUNGUIA BILINGUAL COUNSELING PLLC
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 02/12/2013
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Provider Practice Location Address
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Address Line | 24044 CINCO VILLAGE CENTER BLVD STE 100
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City | KATY
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State | TX
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Zip | 77494-8433
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Country | US
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Telephone | 713-487-5137
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Fax |
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Provider Business Mailing Address
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Address Line | 24044 CINCO VILLAGE CENTER BLVD STE 100
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City | KATY
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State | TX
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Zip | 77494-8433
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Country | US
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Telephone | 713-487-5137
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANNETTE MARIE MUNGUIA
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Credential | LPC
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Telephone | 713-487-5137
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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 | 62877
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License Number State | TX
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