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General NPI Number Information
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NPI Number | 1932059169
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Entity Type | Individual
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Provider Name | PRATYUSHA ABBIREDDI
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Gender | Female
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 1901 CARNEGIE AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-5504
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Country | US
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Telephone | 949-620-9991
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Fax |
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Provider Business Mailing Address
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Address Line | 3630 WESTMINSTER AVE
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City | SANTA ANA
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State | CA
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Zip | 92703-1404
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Country | US
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Telephone | 682-274-6997
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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 | 50871168
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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