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NPI 1003235482

NPI 1003235482 : REBECA LOYA M.A, LMFT : CORONA, CA

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General NPI Number Information
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    NPI Number           |    1003235482
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    Entity Type          |    Individual 
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    Provider Name        |    REBECA LOYA M.A, LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/14/2014
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    Last Update Date     |    05/08/2021
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Provider Practice Location Address
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    Address Line         |    1307 W 6TH ST STE 212C 
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    City                 |    CORONA
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    State                |    CA
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    Zip                  |    92882-1642
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    Country              |    US
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    Telephone            |    626-628-4152
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    26377 TOWHEE LN 
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    City                 |    CORONA
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    State                |    CA
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    Zip                  |    92883-3028
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    Country              |    US
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    Telephone            |    626-628-4152
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    105809
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    License Number State |    CA
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