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NPI 1992471767

NPI 1992471767 : CATHERINE ROSA QUIROZ : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1992471767
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    Entity Type          |    Individual 
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    Provider Name        |    CATHERINE ROSA QUIROZ
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/20/2021
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    Last Update Date     |    03/18/2025
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Provider Practice Location Address
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    Address Line         |    2525 N CHESTER AVE 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93308-1770
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    Country              |    US
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    Telephone            |    611-868-1840
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    324 WETHERLEY DR 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-2132
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    Country              |    US
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    Telephone            |    661-303-7357
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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        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    373H00000X
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    Taxonomy Name        |    Day Training/Habilitation Specialist
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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        |    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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