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General NPI Number Information
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NPI Number | 1477002368
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Entity Type | Individual
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Provider Name | CRISTINA AVINA
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Gender | Female
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 2580 LAFAYETTE ST
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City | SANTA CLARA
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State | CA
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Zip | 95050-2602
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Country | US
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Telephone | 408-743-5332
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Fax |
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Provider Business Mailing Address
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Address Line | 1560 E MAIN AVE
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City | MORGAN HILL
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State | CA
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Zip | 95037-3210
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Country | US
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Telephone | 408-427-6452
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State | CA
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