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General NPI Number Information
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NPI Number | 1174316798
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Entity Type | Individual
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Provider Name | ERIKA MARIBEL LLANOS
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 21505 NORWALK BLVD
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City | HAWAIIAN GARDENS
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State | CA
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Zip | 90716-1121
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Country | US
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Telephone | 562-916-7581
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Fax |
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Provider Business Mailing Address
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Address Line | 861 N HAMILTON BLVD
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City | POMONA
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State | CA
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Zip | 91768-2929
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Country | US
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Telephone | 909-802-5161
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 15759
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License Number State | CA
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