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General NPI Number Information
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NPI Number | 1922980978
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Entity Type | Organization
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Legal Business Name | HYBRID HEALTH LLC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 14723 WINSTON FALLS LN
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City | HUMBLE
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State | TX
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Zip | 77396-6071
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Country | US
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Telephone | 832-527-1029
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Fax |
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Provider Business Mailing Address
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Address Line | 14723 WINSTON FALLS LN
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City | HUMBLE
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State | TX
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Zip | 77396-6071
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Country | US
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Telephone | 832-527-1029
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MISS ANDI INFANTE
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Credential |
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Telephone | 985-859-1384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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