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NPI 1649574690

NPI 1649574690 : MONICA C ALFARO : SHERMAN OAKS, CA

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General NPI Number Information
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    NPI Number           |    1649574690
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    Entity Type          |    Individual 
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    Provider Name        |    MONICA C ALFARO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/05/2011
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    Last Update Date     |    07/10/2014
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Provider Practice Location Address
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    Address Line         |    13130 BURBANK BLVD. 
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    City                 |    SHERMAN OAKS
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    State                |    CA
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    Zip                  |    91401
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    Country              |    US
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    Telephone            |    818-779-5261
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3011 ROWENA AVE. 5
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90039
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    Country              |    US
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    Telephone            |    818-691-6814
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    77710
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    License Number State |    CA
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