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General NPI Number Information
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NPI Number | 1053100073
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Entity Type | Individual
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Provider Name | IVAN ORLANDO GARNICA LMFT
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Gender | Male
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 3851 LONG BEACH BLVD
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City | LONG BEACH
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State | CA
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Zip | 90807-3311
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Country | US
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Telephone | 323-253-7520
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Fax | 323-784-2800
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Provider Business Mailing Address
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Address Line | 3851 LONG BEACH BLVD
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City | LONG BEACH
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State | CA
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Zip | 90807-3311
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Country | US
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Telephone | 323-253-7520
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Fax | 323-784-2800
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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 | 149761
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License Number State | CA
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