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General NPI Number Information
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NPI Number | 1437912482
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Entity Type | Individual
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Provider Name | LIZA JEANETTE FELIX LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/02/2024
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 2201 MISSION AVE
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City | OCEANSIDE
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State | CA
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Zip | 92058-2313
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Country | US
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Telephone | 760-826-2026
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Fax |
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Provider Business Mailing Address
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Address Line | 823 GATEWAY CENTER WAY
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City | SAN DIEGO
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State | CA
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Zip | 92102-4541
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Country | US
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Telephone | 619-515-2300
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12716776-3501
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34009171A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 128440
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License Number State | CA
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