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General NPI Number Information
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NPI Number | 1578215869
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Entity Type | Individual
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Provider Name | RAFAEL CAZARES LMFT
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Gender | Male
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 25230 DRACAEA AVE
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City | MORENO VALLEY
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State | CA
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Zip | 92553-4238
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Country | US
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Telephone | 909-295-4590
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Fax | 909-295-4590
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Provider Business Mailing Address
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Address Line | 940 N HAVEN AVE STE 180 PMB 121
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City | ONTARIO
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State | CA
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Zip | 91764
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Country | US
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Telephone | 909-295-4590
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Fax | 909-295-4590
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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 |
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