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General NPI Number Information
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NPI Number | 1669781498
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Entity Type | Individual
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Provider Name | EVA CASTANEDA-HOGAN MACP/MFT
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Gender | Female
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 02/28/2019
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Provider Practice Location Address
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Address Line | 2285 CARROTWOOD DR
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City | BREA
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State | CA
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Zip | 92821-4681
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Country | US
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Telephone | 909-724-8247
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Fax |
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Provider Business Mailing Address
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Address Line | 2764 COTTONWOOD TRL
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City | ONTARIO
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State | CA
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Zip | 91761-7439
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Country | US
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Telephone | 909-724-8247
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 106549
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License Number State | CA
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