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General NPI Number Information
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NPI Number | 1386427698
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Entity Type | Individual
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Provider Name | PAOLA CRUZ
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Gender | Female
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Dates
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Enumeration Date | 08/18/2023
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1356 RIDDER PARK DR
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City | SAN JOSE
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State | CA
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Zip | 95131-2313
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Country | US
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Telephone | 408-648-7122
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Fax |
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Provider Business Mailing Address
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Address Line | 9015 MURRAY AVE STE 100
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City | GILROY
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State | CA
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Zip | 95020-3675
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Country | US
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Telephone | 408-846-4770
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 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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