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NPI Code Detail

MEDICARE: BYRON DIGGS JR. ASW

MEDICARE: BYRON DIGGS JR. ASW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker104850CA

General Provider Information

NPI Number : 1740973395
Entity Type Code : Individual
Provider Name (Legal Business Name) : BYRON DIGGS JR. ASW
Provider Business Mailing Address
First Line : 5417 PACER VALLEY CT
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93313-4304
Country : US
Telephone Number : 661-412-7611
Fax Number :
Provider Business Practice Location Address
First Line : 5417 PACER VALLEY CT
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93313-4304
Country : US
Telephone Number : 661-412-7611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2023
Last Update Date : 05/31/2023

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