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General NPI Number Information
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NPI Number | 1700797396
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Entity Type | Individual
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Provider Name | MS. MARJANELLY ELIZABETH SOSA GARDUNO
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 43845 10TH ST W STE 1D
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City | LANCASTER
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State | CA
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Zip | 93534-4800
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Country | US
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Telephone | 661-727-0061
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Fax | 661-418-0060
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Provider Business Mailing Address
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Address Line | PO BOX 1384
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City | LANCASTER
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State | CA
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Zip | 93584-1384
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Country | US
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Telephone | 213-440-2898
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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 | 164480
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License Number State | CA
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