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General NPI Number Information
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NPI Number | 1346165719
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Entity Type | Individual
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Provider Name | MIREYA EULALIA PINA
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Gender | Female
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 234 CALLE CESAR E CHAVEZ
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City | GUADALUPE
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State | CA
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Zip | 93434-1836
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Country | US
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Telephone | 805-842-5148
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Fax |
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Provider Business Mailing Address
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Address Line | 118 NARLENE WAY
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City | PISMO BEACH
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State | CA
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Zip | 93449-3204
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Country | US
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Telephone | 760-616-4007
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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