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General NPI Number Information
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NPI Number | 1457739906
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Entity Type | Individual
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Provider Name | HAMIDREZA SABER M.D, M.P.H
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Gender | Male
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Dates
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Enumeration Date | 05/15/2015
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 1500 RED RIVER ST
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City | AUSTIN
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State | TX
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Zip | 78701-1918
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Country | US
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Telephone | 857-265-5484
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Fax |
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Provider Business Mailing Address
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Address Line | 110 SAN ANTONIO ST APT 2319
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City | AUSTIN
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State | TX
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Zip | 78701-0038
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Country | US
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Telephone | 857-265-5484
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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 | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | U0652
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License Number State | TX
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