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General NPI Number Information
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NPI Number | 1033903711
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Entity Type | Individual
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Provider Name | CARLOS JUNIOR PEREZ
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Gender | Male
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 8832 SYRACUSE AVE
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City | ANAHEIM
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State | CA
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Zip | 92804-6229
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Country | US
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Telephone | 877-497-6799
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Fax |
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Provider Business Mailing Address
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Address Line | 2465 SEABRIGHT AVE
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City | LONG BEACH
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State | CA
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Zip | 90810-3249
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Country | US
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Telephone | 562-472-8398
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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