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General NPI Number Information
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NPI Number | 1740299338
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Entity Type | Individual
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Provider Name | DIANA D'ALBERGO CORDER I LPC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 600 WARD RD
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City | BAYTOWN
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State | TX
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Zip | 77520-4861
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Country | US
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Telephone | 281-360-5279
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Fax | 832-556-8656
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Provider Business Mailing Address
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Address Line | PO BOX 1094
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City | BAYTOWN
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State | TX
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Zip | 77522-1094
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Country | US
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Telephone | 281-424-7732
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Fax | 832-556-8656
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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 | 11307
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License Number State | TX
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