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General NPI Number Information
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NPI Number | 1699644617
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Entity Type | Individual
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Provider Name | EUNIQUE MACKEY RBT
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Gender | Female
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 3620 HILLSIDE DR
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City | ROUND ROCK
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State | TX
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Zip | 78681-3742
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Country | US
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Telephone | 512-661-4387
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Fax |
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Provider Business Mailing Address
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Address Line | 3653 TEXANA LOOP
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City | ROUND ROCK
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State | TX
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Zip | 78665-1443
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Country | US
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Telephone | 210-946-7616
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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 | RBT-24-320632
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License Number State | TX
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