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General NPI Number Information
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NPI Number | 1679453237
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Entity Type | Individual
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Provider Name | MAURICE MOUSSA SABBARA
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Gender | Male
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1297 W HOBSONWAY
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City | BLYTHE
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State | CA
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Zip | 92225-1423
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Country | US
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Telephone | 760-921-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E MURPHY ST
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City | BLYTHE
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State | CA
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Zip | 92225-1770
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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 |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APCC20445
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License Number State | CA
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