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General NPI Number Information
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NPI Number | 1083309702
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO PEDIATRIC & ADOLESCENT NEUROPSYCHOLOGY SPECIALISTS PLLC
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 05/20/2023
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Provider Practice Location Address
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Address Line | 7434 LOUIS PASTEUR DR STE 230
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4593
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Country | US
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Telephone | 210-257-9451
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Fax |
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Provider Business Mailing Address
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Address Line | 7434 LOUIS PASTEUR DR STE 230
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4593
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Country | US
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Telephone | 210-257-9451
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC NEUROPSYCHOLOGIST
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Name | DR. APRIL ROSE ABREGO
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Credential | PSYD, LP, LPC
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Telephone | 210-257-9451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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