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NPI 1427127497

NPI 1427127497 : MS. ROSEMARIE HILDEGARD CAYUELA : CERRITOS, CA

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General NPI Number Information
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    NPI Number           |    1427127497
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    Entity Type          |    Individual 
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    Provider Name        |    MS. ROSEMARIE HILDEGARD CAYUELA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/06/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    17707 STUDEBAKER RD 
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    City                 |    CERRITOS
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    State                |    CA
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    Zip                  |    90703-2640
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    Country              |    US
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    Telephone            |    562-403-0379
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    Fax                  |    562-402-3032
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Provider Business Mailing Address
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    Address Line         |    21919 TOLANI CT 
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    City                 |    DIAMOND BAR
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    State                |    CA
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    Zip                  |    91765-2856
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    Country              |    US
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    Telephone            |    562-403-0379
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    Fax                  |    562-402-3032
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    PT23250
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    License Number State |    CA
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