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NPI 1295629343

NPI 1295629343 : ERIKA FRANCISCA BERMUDEZ TELLO AMFT : BUENA PARK, CA

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General NPI Number Information
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    NPI Number           |    1295629343
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    Entity Type          |    Individual 
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    Provider Name        |    ERIKA FRANCISCA BERMUDEZ TELLO AMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/04/2025
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    Last Update Date     |    06/04/2025
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Provider Practice Location Address
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    Address Line         |    6301 BEACH BLVD STE 245 
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    City                 |    BUENA PARK
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    State                |    CA
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    Zip                  |    90621-4031
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    Country              |    US
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    Telephone            |    714-736-0231
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2098 N NORDIC ST 
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    City                 |    ORANGE
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    State                |    CA
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    Zip                  |    92865-3943
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    Country              |    US
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    Telephone            |    714-597-2495
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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       |    1553515
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    License Number State |    CA
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