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General NPI Number Information
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NPI Number | 1932010105
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Entity Type | Individual
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Provider Name | JAYDAH ARIAS
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Gender |
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 1104 BUCHANAN RD STE A1
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City | ANTIOCH
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State | CA
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Zip | 94509-4214
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Country | US
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Telephone | 925-215-0015
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Fax |
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Provider Business Mailing Address
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Address Line | 504 NORTHBANK CT APT 15
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City | STOCKTON
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State | CA
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Zip | 95207-7655
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Country | US
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Telephone | 559-769-8794
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 8234
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License Number State | CA
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