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General NPI Number Information
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NPI Number | 1265175137
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Entity Type | Individual
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Provider Name | EVELYN ESTELA AYALA PHD
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Gender | Female
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 3455 KNIGHTON RD
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City | REDDING
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State | CA
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Zip | 96002-9498
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Country | US
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Telephone | 530-226-7688
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Fax |
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Provider Business Mailing Address
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Address Line | 1640 VICTOR AVE APT 5
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City | REDDING
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State | CA
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Zip | 96003-4023
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Country | US
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Telephone | 951-241-6234
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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