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General NPI Number Information
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NPI Number | 1497556856
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Entity Type | Individual
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Provider Name | BROOKE MUNIZ
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Gender | Female
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 4221 N HUGHES AVE
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City | FRESNO
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State | CA
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Zip | 93705-1611
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Country | US
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Telephone | 559-225-7737
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Fax |
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Provider Business Mailing Address
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Address Line | 567 W SHAW AVE
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City | FRESNO
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State | CA
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Zip | 93704-2500
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Country | US
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Telephone | 559-899-3176
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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