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General NPI Number Information
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NPI Number | 1811455918
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Entity Type | Individual
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Provider Name | YADIRA VALENCIA MCBURNEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 3330 CENTRE LAKE DR
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City | ONTARIO
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State | CA
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Zip | 91761-1211
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Country | US
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Telephone | 909-974-4721
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Fax |
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Provider Business Mailing Address
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Address Line | 9523 RANCHO JURUPA
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City | JURUPA VALLEY
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State | CA
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Zip | 92509-5215
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Country | US
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Telephone | 909-292-5008
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 86029
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License Number State | CA
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