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General NPI Number Information
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NPI Number | 1609735554
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Entity Type | Individual
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Provider Name | HECTOR ABUNDIZ
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Gender | Male
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 3192 GLEN CANYON RD
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-4916
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Country | US
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Telephone | 831-438-1868
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Fax | 831-438-2789
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Provider Business Mailing Address
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Address Line | 3600 GLEN CANYON RD
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-4923
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Country | US
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Telephone | 831-438-1868
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Fax | 831-438-2789
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A060170721
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License Number State | CA
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