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General NPI Number Information
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NPI Number | 1518829449
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Entity Type | Individual
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Provider Name | MICHAEL CRUZ I
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Gender | Male
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 5385 HOLLISTER AVE BLDG 11
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City | SANTA BARBARA
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State | CA
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Zip | 93111-2389
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Country | US
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Telephone | 805-379-1401
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Fax |
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Provider Business Mailing Address
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Address Line | 1119 PUNTA GORDA ST APT D
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City | SANTA BARBARA
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State | CA
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Zip | 93103-4405
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Country | US
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Telephone | 805-689-3759
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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