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General NPI Number Information
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NPI Number | 1275453417
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Entity Type | Individual
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Provider Name | GLADYS CAROLINA RUBALCAVA
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Gender | Female
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 313 W WALL ST
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City | GRAPEVINE
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State | TX
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Zip | 76051-5285
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Country | US
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Telephone | 817-442-7086
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Fax |
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Provider Business Mailing Address
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Address Line | 2541 BUTTONBUSH LN
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City | GARLAND
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State | TX
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Zip | 75042-4063
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 25457753
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License Number State | TX
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