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General NPI Number Information
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NPI Number | 1891645792
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Entity Type | Individual
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Provider Name | MARA ADLEMI HERNANDEZ MEDRANO
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Gender | Female
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 13700 VETERANS MEMORIAL DR STE 100
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City | HOUSTON
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State | TX
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Zip | 77014-3100
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Country | US
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Telephone | 512-772-9496
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Fax |
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Provider Business Mailing Address
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Address Line | 2380 FARM TO MARKET ROAD 1854
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City | DALE
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State | TX
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Zip | 78616
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Country | US
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Telephone | 512-772-9496
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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