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General NPI Number Information
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NPI Number | 1184433617
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Entity Type | Individual
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Provider Name | SAMANTHA RODRIGUEZ ZUNIGA AMFT
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Gender | Female
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 7677 CENTER AVE
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-3074
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Country | US
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Telephone | 949-565-4733
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Fax |
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Provider Business Mailing Address
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Address Line | 25187 LORING RD
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City | WILDOMAR
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State | CA
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Zip | 92595-7631
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Country | US
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Telephone | 951-813-9736
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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 | 150259
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License Number State | CA
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