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General NPI Number Information
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NPI Number | 1205773009
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Entity Type | Individual
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Provider Name | MARIZA HERROZ MASTER OF ARTS & ED
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Gender | Female
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 255 LEWIS AVE
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City | SAN ANDRES
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State | CA
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Zip | 95249-0067
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Country | US
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Telephone | 209-542-0219
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Fax |
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Provider Business Mailing Address
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Address Line | 1721 THOMAS TAYLOR DR
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City | HUGHSON
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State | CA
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Zip | 95326-8909
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Country | US
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Telephone | 209-542-0219
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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 |
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License Number State | CA
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