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General NPI Number Information
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NPI Number | 1922368422
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Entity Type | Organization
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Legal Business Name | JUNTOS CAMINAREMOS INC.
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 3302 CHACOTA ST 2A
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City | LAREDO
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State | TX
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Zip | 78046-7025
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Country | US
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Telephone | 956-723-4488
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Fax |
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Provider Business Mailing Address
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Address Line | 3302 CHACOTA ST 2A
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City | LAREDO
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State | TX
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Zip | 78046-7025
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Country | US
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Telephone | 956-723-4488
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. GRACIELA MARTINEZ VELA
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Credential | NCAC I, LCDC, CART
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Telephone | 956-723-4488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 10008
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License Number State | TX
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