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General NPI Number Information
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NPI Number | 1902595309
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Entity Type | Individual
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Provider Name | ZENAYAH FITE
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Gender | Female
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 6800 PARK TEN BLVD STE 125N
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City | SAN ANTONIO
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State | TX
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Zip | 78213-4291
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Country | US
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Telephone | 605-593-6116
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Fax |
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Provider Business Mailing Address
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Address Line | 4092 TPC PKWY APT 557
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City | SAN ANTONIO
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State | TX
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Zip | 78261-2925
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Country | US
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Telephone | 605-593-6116
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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 | RBT-23-252660
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License Number State | TX
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