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General NPI Number Information
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NPI Number | 1134839285
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Entity Type | Individual
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Provider Name | REBECCA LYNN CHEEK
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Gender | Female
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 1801 TRIMMIER RD STE A4
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City | KILLEEN
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State | TX
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Zip | 76541-8513
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Country | US
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Telephone | 254-294-4488
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Fax |
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Provider Business Mailing Address
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Address Line | 907 JAMES LOOP
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City | KILLEEN
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State | TX
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Zip | 76542-3805
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Country | US
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Telephone |
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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-22-242394
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License Number State | MO
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