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General NPI Number Information
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NPI Number | 1720933864
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Entity Type | Individual
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Provider Name | CHARLENE VICTORIA CORTEZ
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Gender | Female
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 631 RIVER OAKS PKWY
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City | SAN JOSE
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State | CA
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Zip | 95134-1907
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Country | US
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Telephone | 408-914-3851
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 THE WOODS DR APT D1130
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City | SAN JOSE
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State | CA
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Zip | 95136-3899
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Country | US
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Telephone | 510-200-6088
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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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