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General NPI Number Information
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NPI Number | 1770765349
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Entity Type | Individual
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Provider Name | DAVIN E MAGNO M.ED, LPC
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Gender | Male
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 1510 N ZARAGOZA RD STE A11
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City | EL PASO
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State | TX
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Zip | 79936-7893
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Country | US
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Telephone | 915-544-3500
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Fax | 915-544-3503
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Provider Business Mailing Address
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Address Line | 616 N VIRGINIA ST STE F
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City | EL PASO
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State | TX
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Zip | 79902-5311
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Country | US
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Telephone | 915-544-3500
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Fax | 915-544-3503
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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 | 17147
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License Number State | TX
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