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General NPI Number Information
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NPI Number | 1285597609
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Entity Type | Individual
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Provider Name | JOVANA A SANDOVAL
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Gender | Female
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 27555 YNEZ RD STE 300
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City | TEMECULA
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State | CA
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Zip | 92591-4678
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Country | US
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Telephone | 951-694-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 29627 SQUAW VALLEY DR
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City | MENIFEE
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State | CA
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Zip | 92586-3478
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Country | US
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Telephone | 805-825-6049
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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 | CA
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