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General NPI Number Information
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NPI Number | 1528576469
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Entity Type | Individual
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Provider Name | PABLO DELA CRUZ LMFT
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Gender | Male
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 301 THE CITY DR S FL 2
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City | ORANGE
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State | CA
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Zip | 92868-3205
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Country | US
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Telephone | 714-935-6363
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Fax |
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Provider Business Mailing Address
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Address Line | 1439 W CHAPMAN AVE # 164
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City | ORANGE
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State | CA
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Zip | 92868-2738
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Country | US
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Telephone | 714-721-9805
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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 | LMFT159082
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License Number State | CA
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