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General NPI Number Information
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NPI Number | 1336820604
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Entity Type | Individual
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Provider Name | CHRISTINE CRUZ
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Gender | Female
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 4740 VON KARMAN AVE STE 120
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2172
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Country | US
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Telephone | 949-407-9859
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 S AUBURN WAY UNIT 632
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City | ANAHEIM
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State | CA
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Zip | 92805-6635
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Country | US
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Telephone | 331-472-9473
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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