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General NPI Number Information
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NPI Number | 1073123147
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Entity Type | Individual
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Provider Name | BEATRIZ ADRIANA FERNANDEZ RBT
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Gender | Female
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 8408 STACY RD STE 300
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City | MCKINNEY
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State | TX
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Zip | 75070-2422
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Country | US
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Telephone | 469-625-2193
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Fax | 469-998-2193
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Provider Business Mailing Address
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Address Line | 238 COUNTY ROAD 911
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City | ROYSE CITY
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State | TX
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Zip | 75189-7283
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Country | US
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Telephone | 469-625-7842
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-19-91463
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License Number State | TX
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