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General NPI Number Information
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NPI Number | 1710020888
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Entity Type | Individual
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Provider Name | JONATHAN YBARRA L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1111 N 7TH ST STE A
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City | HARLINGEN
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State | TX
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Zip | 78550-5044
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Country | US
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Telephone | 956-364-6650
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Fax | 956-364-6687
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Provider Business Mailing Address
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Address Line | 5115 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539-8278
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Country | US
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Telephone | 956-289-7000
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Fax | 956-289-7257
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 19355
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License Number State | TX
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