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General NPI Number Information
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NPI Number | 1952569006
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Entity Type | Individual
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Provider Name | JYLIA LOBANOVA MD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 3223 S LOOP 289 SUITE 600 (PRIVATE OFFICE 630)
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City | LUBBOCK
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State | TX
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Zip | 79423
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Country | US
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Telephone | 833-351-8255
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Fax | 888-815-3583
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Provider Business Mailing Address
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Address Line | PO BOX 66308
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City | HOUSTON
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State | TX
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Zip | 77266-6308
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Country | US
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Telephone | 832-548-5000
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | P8050
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License Number State | TX
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