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General NPI Number Information
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NPI Number | 1942986765
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Entity Type | Individual
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Provider Name | PATSY A BRACEY RN
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Gender | Female
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1301 LEADER DR # 13
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City | KILLEEN
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State | TX
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Zip | 76549-1533
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Country | US
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Telephone | 125-453-5164
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Fax | 888-519-6535
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Provider Business Mailing Address
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Address Line | 1301 LEADER DR # 13
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City | KILLEEN
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State | TX
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Zip | 76549-1533
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Country | US
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Telephone | 125-453-5164
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Fax | 888-519-6535
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 235549
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | NULL
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