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General NPI Number Information
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NPI Number | 1639209844
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Entity Type | Individual
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Provider Name | ESMERALDA MURGA MFT 42369
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 05/20/2011
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Provider Practice Location Address
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Address Line | 4701 E CESAR E CHAVEZ AVE
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City | LOS ANGELES
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State | CA
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Zip | 90022-1209
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Country | US
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Telephone | 323-881-3799
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Fax |
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Provider Business Mailing Address
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Address Line | 748 N ORCUTT DR
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City | MONTEBELLO
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State | CA
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Zip | 90640-2713
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Country | US
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Telephone | 323-887-1983
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 58760
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License Number State | CA
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