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General NPI Number Information
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NPI Number | 1447597505
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Entity Type | Individual
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Provider Name | MILTON BERNARDO GUERRERO AMFT
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Gender | Male
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Dates
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Enumeration Date | 01/09/2013
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 3787 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90007-4203
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Country | US
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Telephone | 213-434-3069
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Fax |
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Provider Business Mailing Address
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Address Line | 3031 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90007-3033
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Country | US
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Telephone | 310-770-5677
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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 | 109551
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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 | 73296
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 150775
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License Number State | CA
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