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General NPI Number Information
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NPI Number | 1801712195
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Entity Type | Individual
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Provider Name | MS. AIMEE DYAN NAVA
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Gender | Female
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 2813 S MAIN ST FL 2
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City | CORONA
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State | CA
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Zip | 92882-5942
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Country | US
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Telephone | 951-358-4840
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Fax |
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Provider Business Mailing Address
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Address Line | 7873 PINERIDGE CT
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City | JURUPA VALLEY
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State | CA
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Zip | 92509-7024
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Country | US
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Telephone | 760-995-6798
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | CA
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