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General NPI Number Information
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NPI Number | 1427835974
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Entity Type | Individual
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Provider Name | XIOMARA MAIBELIE MORALES MA, AMFT, ALPCC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 3980 8TH AVE UNIT 207
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City | SAN DIEGO
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State | CA
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Zip | 92103-3240
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Country | US
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Telephone | 805-757-6152
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Fax |
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Provider Business Mailing Address
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Address Line | 3980 8TH AVE UNIT 207
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City | SAN DIEGO
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State | CA
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Zip | 92103-3240
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Country | US
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Telephone | 805-757-6152
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 138229
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 13197
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License Number State | CA
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