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General NPI Number Information
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NPI Number | 1104130319
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Entity Type | Individual
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Provider Name | MONICA ROSE LOPEZ BS
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Gender | Female
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 801 E CHAPMAN AVE FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC.
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City | FULLERTON
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State | CA
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Zip | 92831-3839
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Country | US
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Telephone | 909-865-0209
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Fax | 909-865-0185
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Provider Business Mailing Address
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Address Line | 15382 SPRUCE LN
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City | CHINO HILLS
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State | CA
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Zip | 91709-2974
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Country | US
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Telephone | 909-609-6100
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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