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General NPI Number Information
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NPI Number | 1811433048
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Entity Type | Organization
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Legal Business Name | ALAMO AREA COUNSELING AND BEHAVIORAL ASSOCIATES.PLLC
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 01/11/2017
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Provider Practice Location Address
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Address Line | 8211 CREEKRUN VW
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City | SAN ANTONIO
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State | TX
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Zip | 78249-3818
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Country | US
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Telephone | 210-573-6954
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Fax |
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Provider Business Mailing Address
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Address Line | 8211 CREEKRUN VW
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City | SAN ANTONIO
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State | TX
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Zip | 78249-3818
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Country | US
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Telephone | 210-573-6954
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BASHER MOHAMED SALEM
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Credential | L.P.C.,LCDC
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Telephone | 210-646-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 7782
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 61637
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License Number State | TX
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