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General NPI Number Information
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NPI Number | 1063815249
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Entity Type | Individual
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Provider Name | NORMA HERRERA
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Gender | Female
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 5300 ANGELES VISTA BLVD
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City | VIEW PARK
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State | CA
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Zip | 90043-1648
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Country | US
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Telephone | 323-295-4555
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Fax | 323-296-0424
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Provider Business Mailing Address
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Address Line | 25910 ACERO STE 160
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City | MISSION VIEJO
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State | CA
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Zip | 92691-2777
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Country | US
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Telephone | 714-315-0816
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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 | AMFT118243
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License Number State | CA
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