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General NPI Number Information
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NPI Number | 1720536253
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Entity Type | Organization
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Legal Business Name | EMERGE COUNSELING AND COACHING SERVICES
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 12702 TOEPPERWEIN RD SUITE 218
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City | LIVE OAK
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State | TX
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Zip | 78233-3278
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Country | US
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Telephone | 210-488-8997
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Fax |
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Provider Business Mailing Address
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Address Line | 12702 TOEPPERWEIN RD SUITE 218
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City | LIVE OAK
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State | TX
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Zip | 78233-3278
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TONYA SMITH
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Credential | LPC
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Telephone | 210-488-8997
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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 |
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License Number State |
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