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General NPI Number Information
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NPI Number | 1831429372
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Entity Type | Organization
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Legal Business Name | AAVERLEE CLINICAL ASSOCIATES
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Dates
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Enumeration Date | 01/06/2010
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Last Update Date | 01/06/2010
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Provider Practice Location Address
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Address Line | 5801 PATTON ST SUITE 100
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-2457
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Country | US
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Telephone | 361-814-2273
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Fax | 361-814-2274
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Provider Business Mailing Address
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Address Line | PO BOX 61274
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City | CORPUS CHRISTI
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State | TX
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Zip | 78466-1274
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Country | US
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Telephone | 361-814-2273
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Fax | 361-814-2274
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MR. JAMES BENEDICT PFEIFFER
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Credential | LCSW
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Telephone | 361-814-2273
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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 | 16509
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License Number State | TX
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