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General NPI Number Information
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NPI Number | 1982808861
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Entity Type | Individual
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Provider Name | HOLAYA PONCE ACOSTA L.P.C., LPCC
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 03/30/2018
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Provider Practice Location Address
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Address Line | 1851 TRAWOOD, SUITE A
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City | EL PASO
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State | TX
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Zip | 79935
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Country | US
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Telephone | 915-240-4135
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Fax | 915-851-7980
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Provider Business Mailing Address
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Address Line | 1851 TRAWOOD, SUITE A
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City | EL PASO
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State | TX
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Zip | 79935
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Country | US
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Telephone | 915-240-4135
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Fax | 915-851-7980
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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 | 59289
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License Number State | TX
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