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General NPI Number Information
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NPI Number | 1841020492
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Entity Type | Individual
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Provider Name | MARY HELEN LOPEZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/07/2024
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 5522 LONE STAR PKWY
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City | SAN ANTONIO
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State | TX
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Zip | 78253-6719
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Country | US
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Telephone | 210-664-1275
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Fax |
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Provider Business Mailing Address
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Address Line | 9822 LOCKBERRY LN
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4736
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Country | US
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Telephone | 210-365-0575
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34019
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License Number State | TX
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