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General NPI Number Information
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NPI Number | 1699210591
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Entity Type | Individual
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Provider Name | STACEY RAMIREZ APCC
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Gender | Female
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Dates
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Enumeration Date | 12/30/2016
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 2505 E LAKESHORE DR
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-4446
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Country | US
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Telephone | 951-471-1426
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Fax |
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Provider Business Mailing Address
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Address Line | 29662 EDGEMERE WAY
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City | MENIFEE
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State | CA
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Zip | 92584-6451
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Country | US
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Telephone | 909-659-6055
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 160133412
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 18142
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License Number State | CA
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