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General NPI Number Information
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NPI Number | 1932094521
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Entity Type | Individual
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Provider Name | HECTOR RICARDO PULIDO
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Gender | Male
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 435 ASPEN ST
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City | WOODLAND
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State | CA
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Zip | 95695-2665
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Country | US
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Telephone | 530-662-5727
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Fax | 530-668-1198
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Provider Business Mailing Address
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Address Line | 5 COTTONWOOD ST
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City | WOODLAND
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State | CA
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Zip | 95695-2514
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Country | US
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Telephone | 707-359-8930
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 740548
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License Number State | CA
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