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General NPI Number Information
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NPI Number | 1023360518
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Entity Type | Individual
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Provider Name | ARIADNA JIMENEZ TRAYNOR
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Gender | Female
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 120 S STATE COLLEGE BLVD STE 150
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City | BREA
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State | CA
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Zip | 92821-5837
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Country | US
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Telephone | 174-577-5400
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Fax | 714-577-5450
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Provider Business Mailing Address
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Address Line | 2050 N TUSTIN ST # 1039
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City | ORANGE
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State | CA
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Zip | 92865-3902
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Country | US
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Telephone | 714-557-5419
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Fax | 714-577-5450
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | APCC17420
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License Number State | CA
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