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General NPI Number Information
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NPI Number | 1285491084
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Entity Type | Individual
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Provider Name | BRENDA PABELLON
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Gender | Female
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Dates
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Enumeration Date | 02/28/2024
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 9004 POSTVINE DR
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City | AUSTIN
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State | TX
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Zip | 78724-6244
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Country | US
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Telephone | 512-659-2933
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Fax |
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Provider Business Mailing Address
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Address Line | 415 E FM 2410 RD UNIT 36514
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City | HARKER HEIGHTS
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State | TX
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Zip | 76548-2901
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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