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General NPI Number Information
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NPI Number | 1720966500
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Entity Type | Individual
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Provider Name | SABBETAI N/A HURTADO
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Gender |
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 4514 COLE AVE STE 600
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City | DALLAS
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State | TX
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Zip | 75205-4193
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Country | US
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Telephone | 800-883-8441
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Fax |
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Provider Business Mailing Address
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Address Line | 4825 FALLS ST # A
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City | HOUSTON
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State | TX
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Zip | 77026-2632
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Country | US
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Telephone | 281-875-5186
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | BACB1322840
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License Number State | TX
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