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General NPI Number Information
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NPI Number | 1285857177
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Entity Type | Individual
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Provider Name | MR. ANDRES RAYA
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 12/14/2025
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Provider Practice Location Address
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Address Line | 500 WEST HOSPITAL RD.
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City | FRENCH CAMP
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State | CA
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Zip | 95231
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Country | US
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Telephone | 209-468-6859
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Fax | 209-468-6739
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Provider Business Mailing Address
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Address Line | 319 HOWARD ST
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City | STOCKTON
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State | CA
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Zip | 95206-2533
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Country | US
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Telephone | 209-464-0175
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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