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General NPI Number Information
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NPI Number | 1235099011
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Entity Type | Individual
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Provider Name | BRAYAN ABREU RODRIGUEZ
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Gender |
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 13100 N FM 973 BUILDING 1
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City | MANOR
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State | TX
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Zip | 78653
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Country | US
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Telephone | 737-396-0475
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Fax |
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Provider Business Mailing Address
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Address Line | 4021 STECK AVE APT 523
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City | AUSTIN
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State | TX
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Zip | 78759-8624
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Country | US
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Telephone |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 383609
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License Number State | TX
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