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General NPI Number Information
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NPI Number | 1215686514
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Entity Type | Individual
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Provider Name | DESIREE B CRUZ
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Gender | Female
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 880 W LAMBERT RD APT C101
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City | LA HABRA
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State | CA
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Zip | 90631-8942
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Country | US
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Telephone | 323-474-1730
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Fax |
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Provider Business Mailing Address
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Address Line | 21600 OXNARD ST # WOODLAND
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-4976
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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 | 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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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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