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General NPI Number Information
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NPI Number | 1285117671
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Entity Type | Individual
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Provider Name | ESTEFANIE PEREZ LOERA
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Gender | Female
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 14320 PALM DR
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City | DESERT HOT SPRINGS
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State | CA
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Zip | 92240-6874
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Country | US
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Telephone | 760-393-3443
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Fax |
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Provider Business Mailing Address
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Address Line | 13735 RICHARD WAY APT A
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City | DESERT HOT SPRINGS
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State | CA
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Zip | 92240-5917
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Country | US
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Telephone | 760-676-7970
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 112422
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License Number State | CA
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