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General NPI Number Information
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NPI Number | 1790976322
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Entity Type | Individual
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Provider Name | ANGELA K SHEIRE M.A., LLPC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 8252 MEDICAL DR.
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City | SAN ANTONIO
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State | TX
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Zip | 78229
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Country | US
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Telephone | 210-549-7602
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Fax | 210-610-5104
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Provider Business Mailing Address
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Address Line | 631 ARMADILLO LN
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City | CANYON LAKE
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State | TX
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Zip | 78133-2714
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Country | US
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Telephone | 210-549-7602
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Fax | 210-610-5104
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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 | 6401009192
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License Number State | MI
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