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General NPI Number Information
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NPI Number | 1881927788
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Entity Type | Individual
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Provider Name | JUDITH GUIJARRO
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Gender | Female
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1425 W FOOTHILL BLVD STE 200
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City | UPLAND
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State | CA
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Zip | 91786-8015
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Country | US
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Telephone | 877-522-7187
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Fax |
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Provider Business Mailing Address
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Address Line | 31681 RIVERSIDE DR SUITE L
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-7815
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Country | US
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Telephone | 951-674-9243
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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