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General NPI Number Information
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NPI Number | 1952125502
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Entity Type | Individual
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Provider Name | ROBERT LOUIS BADEEN JR. RPH
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Gender | Male
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 1101 S CAPITAL OF TEXAS HWY STE F101
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-7075
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Country | US
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Telephone | 512-892-0490
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Fax |
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Provider Business Mailing Address
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Address Line | 11009 MIDBURY CT
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City | AUSTIN
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State | TX
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Zip | 78748-3931
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Country | US
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Telephone | 512-934-1019
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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 | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 8873
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License Number State | OK
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