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General NPI Number Information
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NPI Number | 1275371601
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Entity Type | Individual
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Provider Name | KARENINA PICABO ALFARO
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Gender | Female
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Dates
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Enumeration Date | 07/18/2024
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 2716 S VERMONT AVE STE 9
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City | LOS ANGELES
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State | CA
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Zip | 90007-2594
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Country | US
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Telephone | 323-810-9233
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2
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City | NORWALK
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State | CA
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Zip | 90651-0002
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Country | US
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Telephone | 818-396-7732
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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