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General NPI Number Information
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NPI Number | 1205638343
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Entity Type | Organization
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Legal Business Name | CRANE AND THE BULL, CORP
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1155 HIGHLAND DR
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City | BANDERA
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State | TX
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Zip | 78003-5852
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Country | US
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Telephone | 210-663-3116
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1414
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City | BANDERA
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State | TX
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Zip | 78003-1414
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Country | US
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Telephone | 210-663-3116
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. REGINA VANBURG
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Credential | LP
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Telephone | 210-663-3116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 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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