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General NPI Number Information
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NPI Number | 1588533111
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Entity Type | Individual
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Provider Name | FERNANDA VARELA
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Gender | Female
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 8118 FRY RD STE 701
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City | CYPRESS
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State | TX
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Zip | 77433-7850
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Country | US
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Telephone | 281-815-5033
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Fax |
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Provider Business Mailing Address
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Address Line | 6342 PROVIDENT GREEN DR
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City | KATY
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State | TX
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Zip | 77449-2058
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Country | US
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Telephone | 713-894-3262
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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 |
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License Number State | TX
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