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General NPI Number Information
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NPI Number | 1619789765
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Entity Type | Organization
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Legal Business Name | SARAH BOUDJAKDJI LLC
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 211 W MERRIWEATHER STREET
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130
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Country | US
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Telephone | 512-842-9582
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Fax |
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Provider Business Mailing Address
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Address Line | 244 FM 306 # 120-208
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-5488
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Country | US
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Telephone | 715-302-4036
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/OWNER
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Name | SARAH BOUDJAKDJI
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Credential | LPC
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Telephone | 512-842-9582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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