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General NPI Number Information
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NPI Number | 1689556482
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Entity Type | Individual
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Provider Name | MR. ROBERT JUSTIN ARREDONDO
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Gender | Male
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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 | 9314 RYDER DR
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City | SAN ANTONIO
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State | TX
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Zip | 78254-2000
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Country | US
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Telephone | 210-346-8695
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Fax |
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Provider Business Mailing Address
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Address Line | 135 SKYCRESR DR
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City | MARTINDALE
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State | TX
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Zip | 78655
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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 | 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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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 106S00000X
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License Number State | TX
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