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General NPI Number Information
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NPI Number | 1639732324
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Entity Type | Individual
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Provider Name | VANESSA ASHLEY RAMIREZ
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Gender | Female
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 2200 PACIFIC COAST HWY STE 218
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City | HERMOSA BEACH
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State | CA
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Zip | 90254-2701
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Country | US
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Telephone | 424-262-3414
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Fax |
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Provider Business Mailing Address
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Address Line | 2609 W 235TH ST APT B
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City | TORRANCE
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State | CA
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Zip | 90505-4243
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Country | US
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Telephone | 909-217-1449
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 140889
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License Number State | CA
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