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General NPI Number Information
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NPI Number | 1912511742
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Entity Type | Individual
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Provider Name | MARTHA NEREIDA GUERRERO
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Gender | Female
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 255 E RINCON ST STE 321
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City | CORONA
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State | CA
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Zip | 92879-1368
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Country | US
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Telephone | 951-258-0547
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Fax | 951-574-0265
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Provider Business Mailing Address
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Address Line | 255 E RINCON ST STE 321
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City | CORONA
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State | CA
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Zip | 92879-1368
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Country | US
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Telephone | 951-258-0547
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Fax | 951-574-0265
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 40970
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License Number State | CA
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