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General NPI Number Information
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NPI Number | 1124549704
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Entity Type | Individual
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Provider Name | MR. JEFFREY BOOTS
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Gender | Male
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Dates
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Enumeration Date | 07/04/2017
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 201 REGENCY PKWY
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City | MANSFIELD
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State | TX
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Zip | 76063-5638
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Country | US
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Telephone | 682-400-0305
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Fax | 682-334-7806
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Provider Business Mailing Address
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Address Line | 7500 SAN FELIPE ST STE 999
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City | HOUSTON
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State | TX
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Zip | 77063-1707
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Country | US
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Telephone | 281-826-3382
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Fax | 425-491-7683
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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