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General NPI Number Information
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NPI Number | 1669278131
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Entity Type | Individual
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Provider Name | CARLOS A PINEDA
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Gender |
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 333 UNIVERSITY AVE STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95825-6540
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Country | US
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Telephone | 185-583-2672
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Fax |
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Provider Business Mailing Address
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Address Line | 8740 FAIR OAKS BLVD APT 46
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City | CARMICHAEL
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State | CA
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Zip | 95608-2569
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Country | US
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Telephone | 510-313-8991
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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