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General NPI Number Information
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NPI Number | 1457246191
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Entity Type | Organization
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Legal Business Name | NUEVA VIDA THERAPY
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 659 THIRD AVE STE F
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City | CHULA VISTA
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State | CA
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Zip | 91910-5716
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Country | US
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Telephone | 619-728-9330
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Fax |
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Provider Business Mailing Address
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Address Line | 3436 HERMAN AVE
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City | SAN DIEGO
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State | CA
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Zip | 92104-4214
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Country | US
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Telephone | 619-208-3880
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. LESLIE FARIAS SANCHRZ
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Credential | LMFT
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Telephone | 619-728-9330
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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 |
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License Number State |
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