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General NPI Number Information
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NPI Number | 1164246401
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Entity Type | Individual
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Provider Name | JOCELYN MUNOZ
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Gender | Female
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 11731 TELEGRAPH RD STE K
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-6815
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Country | US
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Telephone | 626-753-8672
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Fax |
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Provider Business Mailing Address
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Address Line | 555 MAINE AVE UNIT 228
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City | LONG BEACH
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State | CA
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Zip | 90802-1172
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT152166
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License Number State | CA
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