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General NPI Number Information
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NPI Number | 1275342602
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Entity Type | Organization
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Legal Business Name | HABILITATION INSTITUTE, PLLC
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 8619 CHICOT RD
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City | LITTLE ROCK
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State | AR
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Zip | 72209-4445
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Country | US
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Telephone | 936-200-4476
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Fax |
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Provider Business Mailing Address
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Address Line | 101 RAINBOW DR # 10451
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City | LIVINGSTON
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State | TX
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Zip | 77399-9301
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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 | AO
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Name | DINA DAHDAL
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Credential | MD
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Telephone | 936-200-4471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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