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General NPI Number Information
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NPI Number | 1396607156
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Entity Type | Individual
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Provider Name | YARELI RAMIREZ JIMENEZ
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Gender | Female
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 3224 MCHENRY AVE
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City | MODESTO
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State | CA
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Zip | 95350-1400
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Country | US
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Telephone | 833-227-3454
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Fax | 833-227-3454
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Provider Business Mailing Address
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Address Line | 2404 ENCINA AVE
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City | MODESTO
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State | CA
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Zip | 95354-1905
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Country | US
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Telephone | 209-587-6302
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Fax | 209-587-6302
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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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