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General NPI Number Information
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NPI Number | 1629289533
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Entity Type | Individual
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Provider Name | ANGELA MARIE JAMES M.S.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 8300 UTICA AVE STE 155
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730
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Country | US
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Telephone | 909-727-1783
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Fax | 909-747-9397
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Provider Business Mailing Address
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Address Line | 10808 FOOTHILL BLVD # 160-674
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3889
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Country | US
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Telephone | 909-255-1962
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Fax | 909-747-9397
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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 | 80835
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License Number State | CA
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