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General NPI Number Information
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NPI Number | 1679946123
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Entity Type | Organization
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Legal Business Name | COMMUNITY FAMILY GUIDANCE CENTER
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 10929 SOUTH ST STE 214B
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City | CERRITOS
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State | CA
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Zip | 90703-5374
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Country | US
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Telephone | 562-865-6444
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Fax | 562-865-5864
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Provider Business Mailing Address
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Address Line | 10929 SOUTH ST STE 214B
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City | CERRITOS
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State | CA
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Zip | 90703-5374
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Country | US
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Telephone | 562-865-6444
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Fax | 562-865-5564
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Authorized Official
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Title or Position | BILINGUAL THERAPIST
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Name | MS. ANA SILVIA SALMERON
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Credential | M.S.
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Telephone | 562-865-6444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | IMF78037
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License Number State | CA
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