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General NPI Number Information
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NPI Number | 1356713663
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Entity Type | Individual
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Provider Name | EVA ALICIA LUVIANO
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Gender | Female
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1609 E PALMDALE BLVD SUITE G
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City | PALMDALE
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State | CA
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Zip | 93550
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Country | US
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Telephone | 661-947-1595
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Fax | 661-272-0415
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Provider Business Mailing Address
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Address Line | 44720 RODIN AVE
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City | LANCASTER
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State | CA
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Zip | 93535-3110
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Country | US
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Telephone | 661-733-7221
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Fax | 661-272-0415
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #3
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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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