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General NPI Number Information
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NPI Number | 1255145652
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Entity Type | Individual
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Provider Name | EDUARDO CORIA
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Gender | Male
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1018 21ST ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4709
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Country | US
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Telephone | 661-861-9967
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Fax |
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Provider Business Mailing Address
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Address Line | 1711 W HENDERSON AVE APT 61
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City | PORTERVILLE
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State | CA
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Zip | 93257-1592
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Country | US
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Telephone | 559-544-2133
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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