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General NPI Number Information
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NPI Number | 1952796476
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Entity Type | Individual
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Provider Name | DONALD LEE HLAVINKA M.A., LPC-S, LMFT-S
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Gender | Male
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 04/01/2015
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Provider Practice Location Address
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Address Line | 4910 AIRPORT AVE BDG D
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City | ROSENBERG
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State | TX
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Zip | 77471-5759
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Country | US
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Telephone | 979-245-9231
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Fax | 979-244-3569
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Provider Business Mailing Address
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Address Line | 4910 AIRPORT AVE BDG D
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City | ROSENBERG
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State | TX
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Zip | 77471-5759
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Country | US
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Telephone | 979-245-9231
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Fax | 979-244-3569
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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 | 08979
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License Number State | TX
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