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General NPI Number Information
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NPI Number | 1205730645
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Entity Type | Individual
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Provider Name | DORINDA MORENO
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Gender | Female
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 6905 HARRISON AVE
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City | EASTVALE
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State | CA
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Zip | 92880-9324
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Country | US
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Telephone | 951-736-8241
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Fax |
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Provider Business Mailing Address
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Address Line | 13408 FRANCESCA CT
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City | CHINO
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State | CA
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Zip | 91710-7314
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Country | US
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Telephone | 909-270-7510
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 220277797
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License Number State | CA
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