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General NPI Number Information
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NPI Number | 1174855035
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Entity Type | Individual
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Provider Name | SUNSET CORDERO LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 610 KINGSWOOD AVE
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City | EUGENE
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State | OR
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Zip | 97405-3544
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Country | US
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Telephone | 626-344-8481
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Fax |
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Provider Business Mailing Address
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Address Line | 10526 DUBNOFF WAY
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3921
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Country | US
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Telephone | 818-755-4950
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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 | IMF68423
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T1954
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF84481
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License Number State | CA
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