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General NPI Number Information
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NPI Number | 1437982022
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Entity Type | Individual
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Provider Name | DIANA LIZETH MERINO DPT
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Gender | Female
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Dates
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Enumeration Date | 08/21/2024
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 18800 DELAWARE ST STE 350
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-6084
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Country | US
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Telephone | 714-848-8318
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Fax |
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Provider Business Mailing Address
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Address Line | 2018 JETTY CIR
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City | SANTA ANA
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State | CA
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Zip | 92706-2233
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Country | US
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Telephone | 714-791-5333
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 307252
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License Number State | CA
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