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NPI 1689556458

NPI 1689556458 : PAMELA THERESA LOBO : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1689556458
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    Entity Type          |    Individual 
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    Provider Name        |    PAMELA THERESA LOBO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/23/2025
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    Last Update Date     |    07/23/2025
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Provider Practice Location Address
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    Address Line         |    244870 BLANCO RD 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78260
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    Country              |    US
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    Telephone            |    210-981-6836
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6222 W IH 10 # 104 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78201-2013
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    Country              |    US
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    Telephone            |    210-447-0039
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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 |    
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