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General NPI Number Information
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NPI Number | 1407624992
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Entity Type | Individual
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Provider Name | MIREYA ANAID CORONADO MSW
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Gender | Female
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Dates
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Enumeration Date | 12/14/2023
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 1285 ESCUELA PKWY
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City | MILPITAS
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State | CA
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Zip | 95035-3297
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Country | US
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Telephone | 408-635-2800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 731686
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City | SAN JOSE
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State | CA
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Zip | 95173-1686
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Country | US
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Telephone | 669-799-6575
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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