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General NPI Number Information
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NPI Number | 1124823877
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Entity Type | Individual
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Provider Name | ROBERT RAY LABARBERA
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Gender | Male
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 275 JACKSON ST.
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City | BASTROP
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State | TX
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Zip | 78602
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Country | US
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Telephone | 512-657-3294
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 COUNTY ROAD 209
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City | WEIMAR
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State | TX
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Zip | 78962-5245
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Country | US
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Telephone | 832-368-6584
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 91125
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 91125
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | TX
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