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General NPI Number Information
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NPI Number | 1518753789
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Entity Type | Individual
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Provider Name | ERIK RYAN UNZUETA MS
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Gender | Male
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 5550 TELEGRAPH RD STE AB1
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City | VENTURA
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State | CA
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Zip | 93003-4254
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Country | US
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Telephone | 805-222-0136
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Fax |
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Provider Business Mailing Address
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Address Line | 1823 N 5TH ST
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City | PORT HUENEME
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State | CA
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Zip | 93041-2212
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Country | US
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Telephone | 805-228-2856
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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 |
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License Number State | CA
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