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General NPI Number Information
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NPI Number | 1255455804
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Entity Type | Individual
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Provider Name | JUAN ANGEL ESTRADA
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 1270 NATIVIDAD RD ROOM 200
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City | SALINAS
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State | CA
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Zip | 93906-3122
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Country | US
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Telephone | 831-755-4510
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Fax |
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Provider Business Mailing Address
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Address Line | 1287 RIDER AVE
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City | SALINAS
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State | CA
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Zip | 93905-1258
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Country | US
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Telephone | 831-753-2897
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | CA
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