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General NPI Number Information
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NPI Number | 1619369642
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Entity Type | Individual
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Provider Name | ANA KARINA RIOS-DAMACIO LPCC 10911
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Gender | Female
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Dates
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Enumeration Date | 02/27/2015
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 12390 GOLDEN STATE BLVD
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City | MADERA
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State | CA
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Zip | 93637-9156
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Country | US
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Telephone | 559-660-4606
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Fax |
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Provider Business Mailing Address
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Address Line | 6083 N FIGARDEN DR # 635
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City | FRESNO
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State | CA
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Zip | 93722-3226
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Country | US
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Telephone | 559-341-9470
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC10911
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License Number State | CA
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