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General NPI Number Information
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NPI Number | 1700798386
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Entity Type | Individual
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Provider Name | CARLOS ENRIQUE BRENES AMFT
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Gender | Male
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Dates
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Enumeration Date | 09/19/2026
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Last Update Date | 09/19/2026
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Provider Practice Location Address
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Address Line | 23521 PASEO DE VALENCIA STE B5
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3125
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Country | US
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Telephone | 866-594-8844
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Fax |
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Provider Business Mailing Address
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Address Line | 4281 KATELLA AVE STE 117
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3590
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Country | US
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Telephone | 562-596-0050
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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 | 164664
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License Number State | CA
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