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General NPI Number Information
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NPI Number | 1437743754
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Entity Type | Individual
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Provider Name | LYZETTE MONIQUE PEREZ-MUNOZ
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Gender | Female
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Dates
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Enumeration Date | 02/26/2021
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 1333 S MAYFLOWER AVE STE 360
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City | MONROVIA
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State | CA
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Zip | 91016-5280
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Country | US
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Telephone | 626-701-4249
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Fax | 626-737-6034
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Provider Business Mailing Address
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Address Line | 41 E FOOTHILL BLVD STE 102
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City | ARCADIA
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State | CA
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Zip | 91006-2361
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Country | US
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Telephone | 626-701-4249
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Fax | 626-737-6034
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 98094
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License Number State | CA
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