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General NPI Number Information
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NPI Number | 1730660432
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Entity Type | Organization
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Legal Business Name | DR. HOAR'S PSYCHOLOGICAL & CONSULTATION SERVICES, PLLC
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 100 CHESTNUT ST STE 112
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City | ABILENE
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State | TX
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Zip | 79602
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Country | US
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Telephone | 325-660-6185
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Fax |
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Provider Business Mailing Address
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Address Line | 145 WESTERN TRL
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City | BUFFALO GAP
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State | TX
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Zip | 79508-1102
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Country | US
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Telephone | 940-765-0886
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIANA G HOAR
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Credential | PHD
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Telephone | 940-765-0886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 63670
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License Number State | TX
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