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General NPI Number Information
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NPI Number | 1457577603
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Entity Type | Individual
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Provider Name | GUADALUPE HEIDI CABRAL LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 14623 HAWTHORNE BLVD
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City | LAWNDALE
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State | CA
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Zip | 90260-1581
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Country | US
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Telephone | 310-531-3258
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Fax | 424-456-7133
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Provider Business Mailing Address
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Address Line | 14623 HAWTHORNE BLVD
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City | LAWNDALE
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State | CA
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Zip | 90260-1581
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Country | US
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Telephone | 310-531-3258
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Fax | 424-456-7133
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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 |
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License Number State |
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