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General NPI Number Information
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NPI Number | 1194392084
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Entity Type | Individual
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Provider Name | ESMERALDA NUNEZ
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Gender | Female
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Dates
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Enumeration Date | 06/08/2021
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Last Update Date | 06/08/2021
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Provider Practice Location Address
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Address Line | 5426 E OLYMPIC BLVD
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City | COMMERCE
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State | CA
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Zip | 90022-5113
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Country | US
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Telephone | 323-725-7372
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Fax |
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Provider Business Mailing Address
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Address Line | 2478 PIEDMONT DR
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City | RIVERSIDE
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State | CA
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Zip | 92506-4534
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 32589
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License Number State | CA
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