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General NPI Number Information
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NPI Number | 1437213972
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Entity Type | Individual
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Provider Name | ESTELA RODRIGUEZ JEBRIL ASW
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 1029 N BROADWAY
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City | ESCONDIDO
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State | CA
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Zip | 92026-3043
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Country | US
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Telephone | 760-291-8729
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Fax | 760-489-4129
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Provider Business Mailing Address
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Address Line | 9634 INDIAN CREEK WAY
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City | ESCONDIDO
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State | CA
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Zip | 92026-6823
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Country | US
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Telephone | 760-715-5733
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Fax | 760-297-1398
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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 | 64529
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License Number State | CA
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