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General NPI Number Information
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NPI Number | 1750795027
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Entity Type | Organization
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Legal Business Name | LBK-ABA, LLC
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5815 82ND STREET SUITE 145 #130
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City | LUBBOCK
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State | TX
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Zip | 79424
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Country | US
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Telephone | 806-559-6068
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Fax | 806-298-2135
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Provider Business Mailing Address
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Address Line | 5815 82ND STREET SUITE 145 #130
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City | LUBBOCK
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State | TX
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Zip | 79424
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Country | US
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Telephone | 806-559-6068
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Fax | 806-298-2135
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Authorized Official
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Title or Position | BILLING
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Name | CHRISTINE LUERA
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Credential |
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Telephone | 806-559-6068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | TX
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