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General NPI Number Information
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NPI Number | 1841767852
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Entity Type | Individual
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Provider Name | ANTHONY JOSEPH WELEBOB ANTHONY
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Gender | Male
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Dates
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Enumeration Date | 10/28/2018
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1101 ARROW POINT DR STE 404
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City | CEDAR PARK
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State | TX
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Zip | 78613-7741
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Country | US
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Telephone | 512-337-8484
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Fax |
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Provider Business Mailing Address
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Address Line | 4102 COLINA CV
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City | ROUND ROCK
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State | TX
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Zip | 78681-2409
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Country | US
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Telephone | 512-786-5931
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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 | 35012703
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License Number State | TX
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