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General NPI Number Information
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NPI Number | 1801638382
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Entity Type | Individual
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Provider Name | ALEXANDER ISAAC CRUZ M.ED. LPC - A
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Gender | Male
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 3 SUGAR CREEK CENTER BLVD STE 100
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City | SUGAR LAND
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State | TX
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Zip | 77478-2211
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Country | US
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Telephone | 832-930-2716
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Fax |
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Provider Business Mailing Address
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Address Line | 10919 WEST RD APT 325
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City | HOUSTON
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State | TX
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Zip | 77064-7207
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Country | US
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Telephone | 832-263-2049
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 95189
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License Number State | TX
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