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General NPI Number Information
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NPI Number | 1760201206
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Entity Type | Individual
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Provider Name | ASHLEY ANN TOVAR MOSQUEDA
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Gender | Female
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 201 ALAMEDA DEL PRADO STE 103
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City | NOVATO
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State | CA
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Zip | 94949-6698
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Country | US
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Telephone | 415-457-6964
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Fax |
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Provider Business Mailing Address
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Address Line | 846 MERCEY SPRINGS RD APT B
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City | LOS BANOS
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State | CA
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Zip | 93635-3833
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Country | US
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Telephone | 209-683-6222
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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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 | 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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