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General NPI Number Information
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NPI Number | 1104110733
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Entity Type | Individual
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Provider Name | ELIZABETH D. MORALES
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Gender | Female
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 5000 BIRCH ST STE 3000
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2140
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Country | US
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Telephone | 877-421-1711
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Fax |
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Provider Business Mailing Address
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Address Line | 441 TECATE RD UNIT 669
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City | TECATE
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State | CA
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Zip | 91980-2427
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Country | US
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Telephone |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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