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NPI 1336813161

NPI 1336813161 : VALERIE STEPHANIE ARMENDARIZ : RIVERSIDE, CA

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General NPI Number Information
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    NPI Number           |    1336813161
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    Entity Type          |    Individual 
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    Provider Name        |    VALERIE STEPHANIE ARMENDARIZ
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2021
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    Last Update Date     |    08/04/2021
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Provider Practice Location Address
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    Address Line         |    1650 SPRUCE ST 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92507-7402
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    Country              |    US
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    Telephone            |    760-815-8344
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    837 W PRINCETON ST 
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    City                 |    ONTARIO
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    State                |    CA
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    Zip                  |    91762-1824
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    Country              |    US
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    Telephone            |    909-208-7805
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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