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General NPI Number Information
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NPI Number | 1558728832
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Entity Type | Individual
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Provider Name | JENNIFER ABDULLAH M.ED
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Gender | Female
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Dates
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Enumeration Date | 01/18/2016
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 12600 HILL COUNTRY BLVD STE R-100
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City | BEE CAVE
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State | TX
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Zip | 78738-6748
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Country | US
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Telephone | 512-767-6026
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Fax |
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Provider Business Mailing Address
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Address Line | 901 S MOPAC EXPY BUILDING 1 SUITE 300
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City | AUSTIN
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State | TX
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Zip | 78746
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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