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General NPI Number Information
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NPI Number | 1073331302
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Entity Type | Individual
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Provider Name | VICTOR HUGO ZELADITA SUDCC IV
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Gender | Male
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 921 E COMPTON BLVD
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City | COMPTON
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State | CA
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Zip | 90221-3303
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Country | US
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Telephone | 310-668-6800
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Fax | 424-271-9176
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Provider Business Mailing Address
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Address Line | 8427 NEVADA AVE
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City | WEST HILLS
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State | CA
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Zip | 91304-2332
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Country | US
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Telephone | 818-674-1041
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | AII051990424
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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