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General NPI Number Information
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NPI Number | 1184445207
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Entity Type | Individual
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Provider Name | MARIA YOLANDA MAYA
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Gender | Female
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 308 E SAN JACINTO AVE
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City | PERRIS
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State | CA
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Zip | 92570-2878
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Country | US
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Telephone | 951-203-4298
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Fax |
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Provider Business Mailing Address
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Address Line | 42127 LEXINGTON CT
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City | HEMET
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State | CA
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Zip | 92544-8409
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Country | US
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Telephone | 951-203-4298
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW112927
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License Number State | CA
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