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General NPI Number Information
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NPI Number | 1427558352
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Entity Type | Individual
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Provider Name | DARIYA LYUBEZHANINA
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Gender | Female
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Dates
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Enumeration Date | 02/16/2018
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 3737 MARCONI AVE
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City | SACRAMENTO
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State | CA
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Zip | 95821-5303
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Country | US
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Telephone | 916-480-1801
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 GARFIELD AVE APT 34
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City | CARMICHAEL
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State | CA
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Zip | 95608-4430
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Country | US
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Telephone | 916-254-8454
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 1427558352
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License Number State | CA
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