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General NPI Number Information
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NPI Number | 1538724083
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Entity Type | Individual
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Provider Name | VERONICA L MEJIA
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Gender | Female
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Dates
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Enumeration Date | 05/09/2019
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 921 E COMPTON BLVD
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City | COMPTON
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State | CA
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Zip | 90221-3303
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Country | US
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Telephone | 310-668-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 HUNTINGTON DR
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City | DUARTE
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State | CA
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Zip | 91010-2686
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Country | US
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Telephone | 626-993-3000
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT124555
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License Number State | CA
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