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General NPI Number Information
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NPI Number | 1225529589
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Entity Type | Individual
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Provider Name | ANABELL REGUEIRA
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Gender | Female
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 6747 SILVER SAGE DR
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City | FORT WORTH
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State | TX
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Zip | 76137-1840
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Country | US
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Telephone | 201-654-2396
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Fax |
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Provider Business Mailing Address
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Address Line | 6747 SILVER SAGE DR
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City | FORT WORTH
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State | TX
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Zip | 76137-1840
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Country | US
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Telephone | 201-654-2396
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 2175
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 11728521
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License Number State | CO
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