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General NPI Number Information
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NPI Number | 1306170733
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Entity Type | Individual
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Provider Name | ERICA GOMEZ
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Gender | Female
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Dates
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Enumeration Date | 10/02/2009
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 441 BAUCHET ST
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City | LOS ANGELES
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State | CA
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Zip | 90012-2906
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Country | US
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Telephone | 213-893-5465
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Fax |
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Provider Business Mailing Address
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Address Line | 9044 CANFORD ST
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City | PICO RIVERA
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State | CA
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Zip | 90660-3805
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Country | US
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Telephone | 562-480-2487
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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 | 101Y00000X
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Taxonomy Name | 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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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