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General NPI Number Information
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NPI Number | 1790672343
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Entity Type | Individual
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Provider Name | NELLIE CANO LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1544 W DOVE AVE
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City | MCALLEN
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State | TX
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Zip | 78504-3439
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Country | US
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Telephone | 956-369-7997
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Fax | 956-843-0272
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Provider Business Mailing Address
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Address Line | 6853 ADAMS DR
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City | MISSION
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State | TX
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Zip | 78573-7513
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Country | US
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Telephone |
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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 | 59055
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 59055
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License Number State | TX
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