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General NPI Number Information
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NPI Number | 1891907812
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Entity Type | Individual
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Provider Name | KAREN JEAN GRIJALVA PHD, MHRS
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 321 E BEACH ST
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City | WATSONVILLE
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State | CA
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Zip | 95076-4801
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Country | US
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Telephone | 831-600-5303
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Fax |
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Provider Business Mailing Address
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Address Line | 2425 PAUL MINNIE AVE
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City | SANTA CRUZ
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State | CA
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Zip | 95062-1742
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Country | US
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Telephone | 831-566-7027
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2012679
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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Taxonomy #3
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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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