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General NPI Number Information
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NPI Number | 1700996402
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Entity Type | Individual
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Provider Name | JOSE ANGEL RENDON LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 3103 STONEBRIDGE BLVD
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City | NEW CASTLE
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State | DE
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Zip | 19720-6741
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Country | US
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Telephone | 832-338-0940
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Fax |
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Provider Business Mailing Address
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Address Line | 2106 TREASURE HILLS BLVD
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City | HARLINGEN
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State | TX
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Zip | 78550-8736
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Country | US
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Telephone | 956-366-4500
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 39126
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-001977
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License Number State | DE
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