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General NPI Number Information
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NPI Number | 1740045251
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Entity Type | Individual
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Provider Name | SARA O'BRIAN-MOLINA
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Gender | Female
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Dates
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Enumeration Date | 02/14/2024
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 119 SW LOOP 410
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City | SAN ANTONIO
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State | TX
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Zip | 78245-2101
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Country | US
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Telephone | 210-745-2753
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Fax |
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Provider Business Mailing Address
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Address Line | 2115 MATHIES CT
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City | LACKLAND AFB
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State | TX
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Zip | 78236-1019
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Country | US
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Telephone | 281-979-9500
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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-23-312653
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License Number State | TX
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