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General NPI Number Information
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NPI Number | 1740669720
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Entity Type | Individual
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Provider Name | RENE GUILLEN LPC
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Gender | Male
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Dates
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Enumeration Date | 05/24/2015
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 220 N ALTON BLVD STE C
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City | ALTON
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State | TX
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Zip | 78573-1543
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Country | US
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Telephone | 956-407-5420
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Fax |
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Provider Business Mailing Address
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Address Line | 4504 W MAPLE AVE
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City | MCALLEN
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State | TX
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Zip | 78501-3712
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Country | US
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Telephone | 956-407-5420
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Fax |
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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 | 70016
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License Number State | TX
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