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General NPI Number Information
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NPI Number | 1629798582
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Entity Type | Organization
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Legal Business Name | MORA PSYCHOLOGY SERVICES PC
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 306 W 3RD ST APT 1005
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City | LOS ANGELES
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State | CA
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Zip | 90013-1119
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Country | US
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Telephone | 213-453-7616
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Fax |
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Provider Business Mailing Address
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Address Line | 453 S SPRING ST STE 400 PMB 45
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City | LOS ANGELES
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State | CA
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Zip | 90013-2074
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEJANDRA MORA SANCHEZ
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Credential | PSYD
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Telephone | 213-453-7616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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