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General NPI Number Information
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NPI Number | 1184219388
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Entity Type | Individual
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Provider Name | JANINE OLMOS
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Gender | Female
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 6737 BRIGHT AVE
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City | WHITTIER
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State | CA
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Zip | 90601-4300
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Country | US
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Telephone | 562-373-2622
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Fax |
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Provider Business Mailing Address
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Address Line | 18902 VAN NESS AVE
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City | TORRANCE
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State | CA
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Zip | 90504-6112
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Country | US
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Telephone | 310-961-0080
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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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 | AMFT142562
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License Number State | CA
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