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General NPI Number Information
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NPI Number | 1225843006
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Entity Type | Individual
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Provider Name | YAINELY RODRIGUEZ ZAMORA
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Gender | Female
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 8451 MANTA RAY CIR
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City | CYPRESS
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State | TX
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Zip | 77433-3228
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Country | US
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Telephone | 346-558-9610
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Fax |
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Provider Business Mailing Address
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Address Line | 18313 FM 1093 RD
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City | RICHMOND
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State | TX
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Zip | 77407-3549
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Country | US
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Telephone | 346-558-9610
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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 | 23-299362
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License Number State | TX
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