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General NPI Number Information
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NPI Number | 1346113396
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Entity Type | Individual
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Provider Name | ELIZABETH CERVANTES MS, LPA
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 27403 YNEZ RD STE 202
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City | TEMECULA
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State | CA
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Zip | 92591-4616
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Country | US
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Telephone | 951-231-1667
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Fax |
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Provider Business Mailing Address
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Address Line | 33026 CHARENTES CT
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City | WINCHESTER
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State | CA
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Zip | 92596-4506
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Country | US
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Telephone | 951-395-5400
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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 | PSB94027844
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License Number State | CA
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