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General NPI Number Information
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NPI Number | 1558136507
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Entity Type | Individual
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Provider Name | ISABEL SIMON APCC
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Gender | Female
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 655 DEEP VALLEY DR STE 265
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274-3620
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Country | US
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Telephone | 323-391-6783
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Fax |
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Provider Business Mailing Address
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Address Line | 658 W 23RD ST APT 3
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City | SAN PEDRO
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State | CA
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Zip | 90731-5923
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Country | US
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Telephone | 203-803-5149
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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 | CA
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