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General NPI Number Information
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NPI Number | 1659573079
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Entity Type | Individual
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Provider Name | CRISTINA LILIAN MAGALHAES PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 12/17/2014
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Provider Practice Location Address
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Address Line | 711 E WALNUT ST SUITE 201
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City | PASADENA
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State | CA
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Zip | 91101-1676
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Country | US
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Telephone | 954-937-0240
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Fax |
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Provider Business Mailing Address
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Address Line | 84 N WILSON AVE APT 302
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City | PASADENA
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State | CA
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Zip | 91106-2345
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Country | US
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Telephone | 954-937-0240
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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 | MH7638
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License Number State | FL
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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 | PSY23830
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License Number State | CA
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