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NPI Code Detail

MEDICARE: ALIYA WANEK

MEDICARE: ALIYA WANEK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist14121CA

General Provider Information

NPI Number : 1538448626
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIYA WANEK
Provider Business Mailing Address
First Line : 543 BONITA CT
Second Line :
City : VALLEJO
State : CA
Zip : 94591-6521
Country : US
Telephone Number : 510-295-7107
Fax Number :
Provider Business Practice Location Address
First Line : 915 54TH ST OFC 8
Second Line :
City : OAKLAND
State : CA
Zip : 94608-3142
Country : US
Telephone Number : 510-879-5003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2011
Last Update Date : 03/09/2026

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Directions to “ ALIYA WANEK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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