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General NPI Number Information
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NPI Number | 1598575581
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Entity Type | Individual
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Provider Name | JOCELINE GOMEZ
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Gender | Female
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 10900 183RD ST STE 285
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City | CERRITOS
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State | CA
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Zip | 90703-5347
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Country | US
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Telephone | 562-273-5328
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Fax |
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Provider Business Mailing Address
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Address Line | 9513 BORSON ST
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City | DOWNEY
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State | CA
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Zip | 90242-4820
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Country | US
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Telephone | 562-879-9779
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 23-307601
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License Number State | CA
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