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General NPI Number Information
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NPI Number | 1588454391
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Entity Type | Individual
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Provider Name | ROSA DAISY CARREON MORAN PPS
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Gender | Female
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1150 N HAYES AVE
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City | DINUBA
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State | CA
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Zip | 93618-3157
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Country | US
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Telephone | 559-595-7252
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Fax |
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Provider Business Mailing Address
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Address Line | 1247 W SUNNYSIDE CT
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City | VISALIA
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State | CA
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Zip | 93277-7789
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Country | US
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Telephone | 559-827-1020
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 200117605
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License Number State | CA
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