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General NPI Number Information
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NPI Number | 1134711476
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Entity Type | Individual
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Provider Name | KASEY MONCADA
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Gender | Female
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 21241 VENTURA BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2108
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Country | US
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Telephone | 805-551-3408
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Fax |
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Provider Business Mailing Address
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Address Line | 19447 MALDONADO PL
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City | SANTA CLARITA
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State | CA
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Zip | 91350-3899
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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