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General NPI Number Information
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NPI Number | 1831052901
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Entity Type | Individual
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Provider Name | KATIE LAYNE BACA DIAZ RRT
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | PO BOX 5144
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City | BAKERSFIELD
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State | CA
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Zip | 93388-5144
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Country | US
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Telephone | 661-522-7093
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Fax |
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Provider Business Mailing Address
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Address Line | 118 MINNER AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93308-3414
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Country | US
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Telephone | 661-522-7093
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | 48108
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License Number State | CA
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