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General NPI Number Information
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NPI Number | 1437632544
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Entity Type | Individual
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Provider Name | CATALINA PACHECO
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Gender | Female
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 5628 E SLAUSON AVE
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City | COMMERCE
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State | CA
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Zip | 90040-2922
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Country | US
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Telephone | 626-773-3761
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Fax |
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Provider Business Mailing Address
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Address Line | 427 S VANCOUVER AVE
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City | LOS ANGELES
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State | CA
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Zip | 90022-1939
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Country | US
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Telephone | 323-316-4995
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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 | 131875
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 108003
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License Number State | CA
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