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General NPI Number Information
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NPI Number | 1629832373
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Entity Type | Individual
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Provider Name | MRS. MARIA VICTORIA DAYANDAYAN
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Gender | Female
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 1151 HARBOR BAY PKWY STE 112B
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City | ALAMEDA
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State | CA
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Zip | 94502-6590
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Country | US
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Telephone | 510-265-4133
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Fax | 888-977-2869
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Provider Business Mailing Address
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Address Line | 2096 ALDENGATE WAY
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City | HAYWARD
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State | CA
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Zip | 94545-3526
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Country | US
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Telephone | 510-265-4133
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Fax | 888-977-2869
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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