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General NPI Number Information
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NPI Number | 1730400847
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Entity Type | Individual
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Provider Name | MARTHA LILIA VARELA-RIOS LP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2010
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 1114 N ALTON BLVD
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City | ALTON
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State | TX
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Zip | 78573-1030
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Country | US
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Telephone | 956-600-6736
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Fax | 956-391-2880
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Provider Business Mailing Address
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Address Line | 3012 E MAIN AVE STE A
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City | ALTON
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State | TX
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Zip | 78573-0908
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Country | US
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Telephone | 956-457-3049
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Fax | 956-391-2880
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 64633
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 39742
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License Number State | TX
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