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General NPI Number Information
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NPI Number | 1548487176
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Entity Type | Individual
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Provider Name | RENE ARMANDO FRESCAS BS
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 506 E FAIRVIEW AVE APT A
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City | SAN GABRIEL
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State | CA
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Zip | 91776-3039
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Country | US
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Telephone | 626-309-0552
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Fax |
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Provider Business Mailing Address
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Address Line | 1037 OBISPO AVE
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City | LONG BEACH
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State | CA
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Zip | 90804-3833
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Country | US
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Telephone | 562-434-0622
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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