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General NPI Number Information
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NPI Number | 1972329183
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Entity Type | Individual
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Provider Name | MRS. DARLENE MERCY MAUZE
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Gender | Female
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1744 W HORIZON RIDGE PKWY
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City | HENDERSON
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State | NV
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Zip | 89012-4833
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Country | US
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Telephone | 951-219-9065
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Fax |
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Provider Business Mailing Address
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Address Line | 473 S CARNEGIE DR STE 200212
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-4207
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Country | US
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Telephone | 951-219-9065
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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