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General NPI Number Information
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NPI Number | 1841923844
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Entity Type | Individual
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Provider Name | RAQUEL SHUMWAY CRUZ LMFT-A
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Gender | Female
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 8200 NASHVILLE AVE STE 201
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City | LUBBOCK
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State | TX
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Zip | 79423-1906
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Country | US
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Telephone | 806-789-7536
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Fax |
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Provider Business Mailing Address
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Address Line | 7415 103RD ST
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City | LUBBOCK
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State | TX
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Zip | 79424-6475
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Country | US
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Telephone | 806-789-7536
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 203383
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License Number State | TX
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