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General NPI Number Information
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NPI Number | 1770094401
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Entity Type | Individual
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Provider Name | REBECCA CARTAGENA PHD
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Gender | Female
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 5055 W PARK BLVD STE 400
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City | PLANO
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State | TX
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Zip | 75093-2590
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Country | US
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Telephone | 631-897-6405
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 37090
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License Number State | TX
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