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General NPI Number Information
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NPI Number | 1679996755
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Entity Type | Individual
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Provider Name | ELSA OLIVIA PEARCE
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Gender | Female
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 572 N ARROWHEAD AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92401-1251
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Country | US
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Telephone | 626-753-5291
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2760
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City | WRIGHTWOOD
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State | CA
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Zip | 92397-2760
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Country | US
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Telephone | 626-940-7297
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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 | 132169
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License Number State | CA
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 152851
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License Number State | CA
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