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General NPI Number Information
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NPI Number | 1245827666
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Entity Type | Individual
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Provider Name | ANDY CAHUANTZI
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Gender | Male
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Dates
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Enumeration Date | 12/31/2020
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 400 W VENTURA BLVD STE 230
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City | CAMARILLO
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State | CA
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Zip | 93010-9142
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Country | US
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Telephone | 858-264-5858
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Fax |
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Provider Business Mailing Address
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Address Line | 951 WARWICK AVE APT J3
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-3632
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Country | US
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Telephone | 805-807-8586
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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