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General NPI Number Information
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NPI Number | 1932081668
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Entity Type | Organization
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Legal Business Name | AHOY ABA
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 102 PECAN STREET
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City | CIBOLO
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State | TX
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Zip | 78108
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Country | US
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Telephone | 210-468-1127
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Fax |
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Provider Business Mailing Address
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Address Line | 857 CIBOLO VALLEY DR STE 228
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City | CIBOLO
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State | TX
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Zip | 78108-4560
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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 | PRESIDENT
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Name | DIONISE M HEREDIA-THOMAS
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Credential |
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Telephone | 361-537-8463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number |
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License Number State |
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