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General NPI Number Information
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NPI Number | 1669090254
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Entity Type | Individual
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Provider Name | PAOLA TAPIA I
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Gender | Female
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 393 E WALNUT ST
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City | PASADENA
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State | CA
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Zip | 91188-3406
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Country | US
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Telephone | 626-744-5230
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 E FOOTHILL BLVD
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City | PASADENA
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State | CA
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Zip | 91107-3406
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Country | US
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Telephone | 626-744-5230
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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 | 122843
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 102196
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 122843
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License Number State | CA
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