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General NPI Number Information
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NPI Number | 1841419967
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Entity Type | Individual
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Provider Name | MARIA E DIAZ SUBSTANCE ABUSE COUN
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Gender | Female
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1010 S UNION AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93307-3642
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Country | US
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Telephone | 661-321-0234
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Fax | 661-321-9856
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Provider Business Mailing Address
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Address Line | 3512 TEAL ST
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City | BAKERSFIELD
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State | CA
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Zip | 93304-6439
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Country | US
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Telephone | 661-397-4168
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Fax | 661-321-9856
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 4834
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License Number State | CA
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