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General NPI Number Information
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NPI Number | 1083243455
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Entity Type | Individual
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Provider Name | URIEL ANGEL GONZALEZ LMFT
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Gender | Male
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | MENTAL HEALTH OUTPATIENT CLINIC 1461 E. COOLEY STE 100
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City | COLTON
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State | CA
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Zip | 92324
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Country | US
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Telephone | 877-527-7227
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Fax |
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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 | 877-527-7227
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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 | 140746
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License Number State | CA
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