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General NPI Number Information
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NPI Number | 1700718459
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Entity Type | Individual
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Provider Name | DANNY RAY AYALA
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Gender | Male
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Dates
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Enumeration Date | 05/29/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 8626 LOWER SACRAMENTO RD STE 41
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City | STOCKTON
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State | CA
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Zip | 95210-1835
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Country | US
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Telephone | 209-478-2487
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 RENDON AVE
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City | STOCKTON
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State | CA
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Zip | 95205-7231
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Country | US
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Telephone | 209-513-4337
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 25432
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License Number State | CA
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