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General NPI Number Information
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NPI Number | 1780270108
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Entity Type | Individual
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Provider Name | MR. MICHAEL JAMES ESTRADA
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Gender | Male
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Dates
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Enumeration Date | 12/19/2020
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 540 OAK CENTRE DR STE 111
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3937
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Country | US
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Telephone | 210-761-3504
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N PACIFIC COAST HWY STE 1400
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City | EL SEGUNDO
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State | CA
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Zip | 90245-5602
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Country | US
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Telephone | 888-922-2843
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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