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General NPI Number Information
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NPI Number | 1669580874
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Entity Type | Individual
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Provider Name | SONYA EMILIA RIVERA-SIMENTAL L.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 11/01/2018
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Provider Practice Location Address
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Address Line | 850 COLORADO BLVD. SUITE 102
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City | LOS ANGELES
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State | CA
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Zip | 90041
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Country | US
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Telephone | 323-632-2091
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Fax | 626-795-3880
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Provider Business Mailing Address
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Address Line | 7435 N. FIGUERIA ST. #113
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City | L.A.
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State | CA
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Zip | 90041
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Country | US
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Telephone | 323-632-2091
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Fax | 626-795-3880
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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 | 36627
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License Number State | CA
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