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General NPI Number Information
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NPI Number | 1336755982
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Entity Type | Individual
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Provider Name | JOCELINE LIZETH VALDEZ
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Gender | Female
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 5301 ELMER WAY
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City | SACRAMENTO
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State | CA
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Zip | 95822-2414
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Country | US
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Telephone | 916-395-5360
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Fax |
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Provider Business Mailing Address
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Address Line | 723 W 92ND ST
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City | LOS ANGELES
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State | CA
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Zip | 90044-4730
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Country | US
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Telephone | 323-893-1209
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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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