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General NPI Number Information
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NPI Number | 1821836040
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Entity Type | Individual
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Provider Name | MARIO SALGADO LPC
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Gender | Male
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Dates
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Enumeration Date | 07/20/2024
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Last Update Date | 07/20/2024
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Provider Practice Location Address
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Address Line | 17890 BLANCO RD
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1039
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Country | US
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Telephone | 210-314-2026
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Fax |
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Provider Business Mailing Address
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Address Line | 716 FORT LEONARD
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City | SAN ANTONIO
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State | TX
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Zip | 78245-4832
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Country | US
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Telephone | 210-363-3686
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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 | 86391
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License Number State | TX
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