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General NPI Number Information
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NPI Number | 1427873090
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Entity Type | Individual
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Provider Name | DANNA P MARTINEZ MARAVILLA MSW INTEM
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Gender | Female
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | THE WHOLE CHILD 10155 COLIMA ROAD
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City | WHITTIER
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State | CA
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Zip | 90603
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Country | US
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Telephone | 562-692-0383
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Fax | 562-692-0380
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Provider Business Mailing Address
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Address Line | 1085 E DORSET AVE
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City | POMONA
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State | CA
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Zip | 91766-5504
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Country | US
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Telephone | 805-458-1493
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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