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General NPI Number Information
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NPI Number | 1831053420
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Entity Type | Individual
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Provider Name | MR. SABATA LUBARI RAMBA SR.
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Gender | Male
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 2722 W STOCKWELL CT
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City | SALT LAKE CITY
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State | UT
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Zip | 84129-5902
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Country | US
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Telephone | 801-674-3851
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Fax | --
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Provider Business Mailing Address
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Address Line | 2722 W STOCKWELL CT
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City | SALT LAKE CITY
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State | UT
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Zip | 84129-5902
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Country | US
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Telephone | 801-674-3851
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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 | 101200000X
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Taxonomy Name | Drama Therapist
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License Number | 166921079
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License Number State | UT
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