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General NPI Number Information
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NPI Number | 1548076482
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Entity Type | Individual
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Provider Name | ELEANOR VALDEZ
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Gender | Female
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1461 E COOLEY DR STE 100
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City | COLTON
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State | CA
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Zip | 92324-3921
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Country | US
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Telephone | 909-747-4521
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Fax |
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Provider Business Mailing Address
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Address Line | SOUTH COAST COMMUNITY SERVICES 25910 ACERO SUITE 160
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City | MISSION VIEJO
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State | CA
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Zip | 92691
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Country | US
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Telephone | 877-527-7227
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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