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General NPI Number Information
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NPI Number | 1053135871
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Entity Type | Individual
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Provider Name | AMARIS GISELLE ARMENDARIZ
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Gender | Female
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 10400 FRICOT CITY RD
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City | SAN ANDREAS
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State | CA
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Zip | 95249-9642
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Country | US
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Telephone | 209-736-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 1128 PARADISE PEAK RD
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City | VALLEY SPRINGS
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State | CA
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Zip | 95252-8543
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Country | US
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Telephone | 209-242-5370
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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