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General NPI Number Information
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NPI Number | 1144622499
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Entity Type | Individual
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Provider Name | ABBY AMBRIZ
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Gender | Female
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 26001 REDLANDS BLVD
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City | REDLANDS
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State | CA
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Zip | 92373-7762
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Country | US
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Telephone | 909-825-7084
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Fax |
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Provider Business Mailing Address
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Address Line | 100 W WALNUT ST STE 375
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City | PASADENA
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State | CA
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Zip | 91124-0001
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Country | US
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Telephone | 626-395-7100
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 91186
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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