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General NPI Number Information
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NPI Number | 1477159846
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Entity Type | Individual
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Provider Name | FRANCISCO DANIEL BRIZUELA BS, LPT, NCPT3, CCMA
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Gender | Male
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 2019 S VAN NESS AVE
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City | SANTA ANA
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State | CA
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Zip | 92707-2639
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Country | US
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Telephone | 714-317-3573
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Fax |
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Provider Business Mailing Address
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Address Line | 2019 S VAN NESS AVE
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City | SANTA ANA
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State | CA
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Zip | 92707-2639
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Country | US
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Telephone | 714-371-5777
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 20-CMHRS-00017
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License Number State | CA
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