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General NPI Number Information
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NPI Number | 1114800729
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Entity Type | Individual
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Provider Name | MAYAN SERNA
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1830 NOGALES ST
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-2945
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Country | US
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Telephone | 626-965-2541
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Fax | 626-854-8302
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Provider Business Mailing Address
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Address Line | 16303 MONTBROOK ST
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City | LA PUENTE
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State | CA
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Zip | 91744-3233
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Country | US
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Telephone | 323-427-3024
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 210112685
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License Number State | CA
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