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General NPI Number Information
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NPI Number | 1134985427
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Entity Type | Organization
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Legal Business Name | VANESSA ACERO PSYCHOLOGICAL INC
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Dates
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Enumeration Date | 02/23/2024
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 893 PATRIOT DR STE A
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City | MOORPARK
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State | CA
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Zip | 93021-3357
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Country | US
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Telephone | 818-203-7410
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Fax |
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Provider Business Mailing Address
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Address Line | 20600 VENTURA BLVD UNIT 2110
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-6670
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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 | OWNER
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Name | VANESSA ACERO
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Credential |
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Telephone | 818-203-7410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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