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General NPI Number Information
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NPI Number | 1306377270
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Entity Type | Individual
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Provider Name | TAMIKA RENEE JONES BCAT
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Gender | Female
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 750 E WALNUT ST
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City | PASADENA
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State | CA
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Zip | 91101-1638
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Country | US
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Telephone | 626-398-3897
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 W 163RD ST
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City | COMPTON
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State | CA
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Zip | 90220-4309
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Country | US
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Telephone | 714-853-9299
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 122701
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 00002245
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License Number State | CA
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