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General NPI Number Information
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NPI Number | 1134944366
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Entity Type | Individual
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Provider Name | ANAGABRIEL LOEZA
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Gender | Female
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 24050 MADISON ST STE 217
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City | TORRANCE
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State | CA
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Zip | 90505-6017
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Country | US
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Telephone | 424-466-5390
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Fax |
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Provider Business Mailing Address
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Address Line | 4165 W 166TH ST
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City | LAWNDALE
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State | CA
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Zip | 90260-3060
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Country | US
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Telephone | 310-908-8706
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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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