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General NPI Number Information
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NPI Number | 1316353675
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Entity Type | Individual
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Provider Name | DIANA VERONICA VASQUEZ
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Gender | Female
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 11627 BROOKSHIRE AVE
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City | DOWNEY
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State | CA
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Zip | 90241-4911
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Country | US
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Telephone | 562-469-6500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5151
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City | LONG BEACH
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State | CA
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Zip | 90805-0151
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Country | US
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Telephone | 213-316-6502
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 113386
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License Number State | CA
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