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General NPI Number Information
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NPI Number | 1871406975
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Entity Type | Organization
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Legal Business Name | ALKEBULAN INNOVATIONS LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 11107 WURZBACH RD STE #403
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City | SAN ANTONIO
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State | TX
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Zip | 78230
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Country | US
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Telephone | 210-475-1501
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Fax | 210-361-2041
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Provider Business Mailing Address
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Address Line | 13338 TUSAYAN
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City | UNIVERSAL CITY
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State | TX
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Zip | 78148-2757
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Country | US
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Telephone | 210-475-1501
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Fax | 210-361-2041
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Authorized Official
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Title or Position | MANAGER
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Name | BERNADETTE YVONNE LOFTIS
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Credential | LPC
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Telephone | 210-475-1501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | NULL
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