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General NPI Number Information
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NPI Number | 1215860176
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Entity Type | Individual
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Provider Name | SYDNEE KILLOUGH
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Gender | Female
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 2009 S WALNUT AVE STE 103
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-2364
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Country | US
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Telephone | 830-507-1285
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Fax | 512-367-5753
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Provider Business Mailing Address
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Address Line | 213 LAKE RIDGE DR
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City | SEGUIN
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State | TX
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Zip | 78155-9483
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Country | US
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Telephone | 830-360-0286
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 305564
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License Number State | TX
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