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General NPI Number Information
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NPI Number | 1205729589
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Entity Type | Individual
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Provider Name | WENDY J GRANILLO ALVAYERO
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 6909 BRISBANE CT
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City | SUGAR LAND
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State | TX
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Zip | 77479-7145
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Country | US
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Telephone | 832-617-5859
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Fax | 281-201-2631
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Provider Business Mailing Address
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Address Line | 808 W JASMINE ST
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City | FRESNO
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State | TX
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Zip | 77545-7623
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Country | US
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Telephone | 346-375-3488
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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 |
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License Number State |
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