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General NPI Number Information
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NPI Number | 1891215877
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Entity Type | Individual
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Provider Name | RICHARD D. MALDONADO L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 108 PAGE AVE
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City | DEL RIO
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State | TX
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Zip | 78840-4184
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Country | US
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Telephone | 830-778-3629
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Fax | 830-778-3888
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Provider Business Mailing Address
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Address Line | 108 PAGE AVE
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City | DEL RIO
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State | TX
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Zip | 78840-4184
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Country | US
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Telephone | 830-778-3629
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Fax | 830-778-3888
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 59178
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License Number State | TX
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