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General NPI Number Information
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NPI Number | 1336940972
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Entity Type | Individual
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Provider Name | PAULINA PAREDES CIENEGA M.A.
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Gender | Female
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 3250 WILSHIRE BLVD STE 500
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City | LOS ANGELES
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State | CA
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Zip | 90010-1427
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Country | US
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Telephone | 323-361-2350
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 N CLARENDON AVE APT 1012
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City | CHICAGO
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State | IL
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Zip | 60640-5761
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Country | US
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Telephone | 323-649-2066
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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