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General NPI Number Information
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NPI Number | 1336609528
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Entity Type | Individual
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Provider Name | IRMA LUCIA LOPEZ JIMENEZ PSY.D, M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 160 S 7TH AVE
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City | LA PUENTE
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State | CA
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Zip | 91746-3211
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Country | US
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Telephone | 626-961-8971
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Fax |
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Provider Business Mailing Address
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Address Line | 140 S SUNKIST ST APT 22
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City | ANAHEIM
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State | CA
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Zip | 92806-3647
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | WAIVER
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License Number State | CA
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