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General NPI Number Information
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NPI Number | 1083590798
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Entity Type | Individual
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Provider Name | ARMANDO DIAZ 16788-RAC
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Gender | Male
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 2090 COMMERCE AVE
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City | CONCORD
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State | CA
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Zip | 94520-4902
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Country | US
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Telephone | 925-676-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 2090 COMMERCE AVE
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City | CONCORD
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State | CA
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Zip | 94520-4902
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Country | US
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Telephone | 925-676-2580
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Fax | 510-457-6929
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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 | 16788
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | F8162767
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License Number State | CA
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