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General NPI Number Information
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NPI Number | 1285989939
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Entity Type | Individual
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Provider Name | MARIA A NAVA
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Gender | Female
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 2851 MEADOW LARK DR
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City | SAN DIEGO
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State | CA
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Zip | 92123-2709
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Country | US
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Telephone | 619-606-1802
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Fax |
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Provider Business Mailing Address
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Address Line | 5545 OCEAN GATE LN APT 320
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City | SAN DIEGO
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State | CA
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Zip | 92154-6493
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Country | US
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Telephone | 619-606-1802
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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