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General NPI Number Information
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NPI Number | 1821376781
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Entity Type | Individual
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Provider Name | ARMIDA GOMEZ DELGADILLO RBT
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Gender | Female
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 2667 CAMINO DEL RIO S STE 102
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City | SAN DIEGO
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State | CA
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Zip | 92108-3763
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Country | US
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Telephone | 619-782-0700
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Fax | 619-782-0710
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Provider Business Mailing Address
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Address Line | 8030 LA MESA BLVD STE 25
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City | LA MESA
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State | CA
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Zip | 91942-0335
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Country | US
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Telephone | 619-782-0700
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Fax | 619-782-0710
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-17-37662
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License Number State | CA
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