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General NPI Number Information
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NPI Number | 1689984361
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Entity Type | Individual
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Provider Name | MS. MARIA GUADALUPE DIAZ-GUEVARA
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Gender | Female
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 1804 PARK COURT PLACE SUITE H
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City | SANTA ANA
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State | CA
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Zip | 92701
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Country | US
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Telephone | 714-957-1004
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Fax | 714-550-9658
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Provider Business Mailing Address
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Address Line | 1801 PARK COURT PL BLDG H
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City | SANTA ANA
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State | CA
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Zip | 92701-5028
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Country | US
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Telephone | 714-371-6082
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Fax | 714-730-8212
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | CA
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License Number State |
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