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General NPI Number Information
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NPI Number | 1306714803
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Entity Type | Individual
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Provider Name | DIEGO JESUS HERRERA
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Gender | Male
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 1300 SONYA LN
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City | SANTA MARIA
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State | CA
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Zip | 93458-6322
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Country | US
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Telephone | 805-361-4530
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Fax |
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Provider Business Mailing Address
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Address Line | 430 MOUNTAIN AVE STE 304
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City | NEW PROVIDENCE
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State | NJ
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Zip | 07974-2731
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Country | US
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Telephone | 973-299-9954
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | DCCC18F4EC
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License Number State | CA
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