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NPI 1184448185

NPI 1184448185 : VIOLINA IULIETA PEAPEA : STANTON, CA

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General NPI Number Information
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    NPI Number           |    1184448185
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    Entity Type          |    Individual 
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    Provider Name        |    VIOLINA IULIETA PEAPEA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/14/2024
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    Last Update Date     |    11/20/2024
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Provider Practice Location Address
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    Address Line         |    11871 SANTA ROSALIA ST 
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    City                 |    STANTON
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    State                |    CA
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    Zip                  |    90680-3417
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    Country              |    US
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    Telephone            |    714-552-4725
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2312 PARK AVE # 196 
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    City                 |    TUSTIN
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    State                |    CA
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    Zip                  |    92782-2702
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    Country              |    US
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    Telephone            |    714-576-8898
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    Fax                  |    949-264-9490
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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