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General NPI Number Information
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NPI Number | 1033037387
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Entity Type | Individual
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Provider Name | HENNESSY JULIET TRUJILLO
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 1000 S FREMONT AVE
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City | ALHAMBRA
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State | CA
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Zip | 91803-8800
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Country | US
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Telephone | 184-026-0085
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Fax |
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Provider Business Mailing Address
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Address Line | 12920 S MONA BLVD
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City | COMPTON
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State | CA
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Zip | 90222-2224
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Country | US
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Telephone | 424-379-7497
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CA
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