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General NPI Number Information
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NPI Number | 1679334221
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Entity Type | Individual
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Provider Name | CONI M SALGADO ZINN
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Gender | Female
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 3610 CENTRAL AVE STE 400
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City | RIVERSIDE
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State | CA
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Zip | 92506-5907
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Country | US
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Telephone | 951-533-5263
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Fax | 951-462-5220
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Provider Business Mailing Address
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Address Line | 53080 CESAR CHAVEZ ST SPC B14
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City | COACHELLA
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State | CA
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Zip | 92236-6001
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Country | US
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Telephone | 760-625-3754
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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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