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General NPI Number Information
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NPI Number | 1629762828
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Entity Type | Individual
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Provider Name | ESTER YVONNE MEDINA I RBT
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Gender | Female
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 14235 BLANCO RD
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City | SAN ANTONIO
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State | TX
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Zip | 78216-7718
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Country | US
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Telephone | 210-415-9626
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Fax |
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Provider Business Mailing Address
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Address Line | 11955 PARLIMENT ST APT.1001 11955 PARLIMENT ST APT.1001
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City | SAN ANTONIO
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State | TX
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Zip | 78216
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Country | US
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Telephone | 214-399-4192
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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 | 23-277237
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License Number State | TX
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