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General NPI Number Information
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NPI Number | 1245046754
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Entity Type | Individual
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Provider Name | DAYANA CAMPA
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 150 W GABILAN ST STE 1
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City | SALINAS
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State | CA
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Zip | 93901-2689
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Country | US
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Telephone | 831-253-4588
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Fax | 831-603-3566
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Provider Business Mailing Address
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Address Line | 850 HILLCREST RD APT 53
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City | HOLLISTER
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State | CA
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Zip | 95023-5019
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Country | US
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Telephone | 831-801-9641
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 145178
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License Number State | CA
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