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General NPI Number Information
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NPI Number | 1174632996
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Entity Type | Individual
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Provider Name | ANA SYLVIA PALDA M.S., M.A.
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 03/25/2020
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Provider Practice Location Address
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Address Line | 34052 LA PLAZA STE 107
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City | DANA POINT
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State | CA
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Zip | 92629-2571
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Country | US
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Telephone | 949-244-5781
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2462
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City | CAPISTRANO BEACH
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State | CA
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Zip | 92624-0462
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Country | US
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Telephone | 949-244-5781
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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 | 46663
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License Number State | CA
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