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General NPI Number Information
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NPI Number | 1659077782
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Entity Type | Individual
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Provider Name | GEIDE KARINA PRADO
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Gender | Female
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Dates
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Enumeration Date | 01/31/2023
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 5325 N FRESNO ST STE 106
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City | FRESNO
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State | CA
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Zip | 93710-6849
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Country | US
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Telephone | 888-880-9270
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 HOWARD RD STE 125
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City | MADERA
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State | CA
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Zip | 93637-5155
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Country | US
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Telephone |
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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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