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General NPI Number Information
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NPI Number | 1356845275
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Entity Type | Individual
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Provider Name | MARILEN GARCIA PEREZ
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 2520 STANWELL DR. STE 200
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City | CONCORD
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State | CA
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Zip | 94520
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Country | US
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Telephone | 877-910-6538
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Fax |
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Provider Business Mailing Address
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Address Line | 42 OCEANVIEW DR.
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City | BAY POINT
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State | CA
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Zip | 94565
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Country | US
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Telephone | 925-303-7543
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | RBT-17-40443
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License Number State | CA
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