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General NPI Number Information
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NPI Number | 1356221816
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Entity Type | Individual
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Provider Name | ANGEL DARIEN LEYVA CCHW
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Gender | Male
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 30 E SAN JOAQUIN ST STE 102
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City | SALINAS
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State | CA
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Zip | 93901-2946
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Country | US
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Telephone | 831-249-1308
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Fax | 831-998-8704
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Provider Business Mailing Address
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Address Line | 30 E SAN JOAQUIN ST STE 102
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City | SALINAS
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State | CA
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Zip | 93901-2946
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Country | US
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Telephone | 831-249-1308
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Fax | 831-998-8704
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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 | CA
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