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General NPI Number Information
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NPI Number | 1225955636
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Entity Type | Individual
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Provider Name | JEREMY ROBERT OLSON RBT
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Gender | Male
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 7215 BOSQUE BLVD
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City | WACO
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State | TX
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Zip | 76710-4020
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Country | US
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Telephone | 855-832-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 6304 LOS ROBLES DR
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City | COLLEGE STATION
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State | TX
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Zip | 77845-6104
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Country | US
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Telephone | 713-885-6583
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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 | RBT-25-436825
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License Number State | TX
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