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General NPI Number Information
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NPI Number | 1679361067
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Entity Type | Individual
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Provider Name | JESSICA PELIKAN AMFT
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Gender | Female
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 815 W FOOTHILL BLVD
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City | MONROVIA
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State | CA
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Zip | 91016-1913
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Country | US
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Telephone | 626-559-2101
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Fax |
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Provider Business Mailing Address
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Address Line | 2602 STRATHMORE AVE
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City | ROSEMEAD
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State | CA
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Zip | 91770-3164
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Country | US
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Telephone | 310-925-7760
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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 | CA
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