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General NPI Number Information
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NPI Number | 1801710256
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Entity Type | Organization
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Legal Business Name | TWINKLE PEDS PSYCH MEDICAL GROUP PA
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 7666 BANDERA RD
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City | SAN ANTONIO
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State | TX
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Zip | 78238-1262
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Country | US
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Telephone | 210-686-6318
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Fax |
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Provider Business Mailing Address
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Address Line | 1624 LOCKHILL SELMA RD
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City | SAN ANTONIO
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State | TX
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Zip | 78213-1929
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Country | US
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Telephone | 210-934-5983
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NNENNA AWAGU
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Credential |
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Telephone | 210-797-7181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 364SP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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