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General NPI Number Information
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NPI Number | 1578001699
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Entity Type | Organization
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Legal Business Name | RGV BEHAVIORAL CONSULTANTS, LLC
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 605 S 7TH ST
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City | HARLINGEN
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State | TX
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Zip | 78550-6965
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Country | US
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Telephone | 956-246-5839
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 836
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City | MERCEDES
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State | TX
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Zip | 78570-0836
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Country | US
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Telephone | 956-246-5839
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/BCBA
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Name | MR. RUBEN JAMES NIETO
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Credential | BCBA
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Telephone | 956-246-5839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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