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General NPI Number Information
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NPI Number | 1700911450
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Entity Type | Individual
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Provider Name | MR. ERIC ALDACO
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2523 W 7TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90057-3801
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Country | US
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Telephone | 213-480-1557
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Fax | 213-480-1557
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Provider Business Mailing Address
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Address Line | 2523 W 7TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90057-3801
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Country | US
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Telephone | 213-480-1557
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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 | IMF 56780
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License Number State | CA
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