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General NPI Number Information
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NPI Number | 1336498997
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Entity Type | Individual
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Provider Name | DIANA R TOLEDO ED.S
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Gender | Female
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 19676 NEW MEXICO 314
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City | BELEN NM
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State | NM
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Zip | 87002
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Country | US
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Telephone | 505-966-1870
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Fax |
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Provider Business Mailing Address
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Address Line | 7204 COULSON DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109
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Country | US
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Telephone | 505-280-0226
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 350748
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License Number State | NM
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