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General NPI Number Information
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NPI Number | 1710344577
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Entity Type | Individual
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Provider Name | ASTRID TOPETE M.S.
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Gender | Female
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 158 GENTRY ST
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City | POMONA
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State | CA
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Zip | 91767-2100
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Country | US
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Telephone | 909-599-8222
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Fax | 909-599-8223
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Provider Business Mailing Address
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Address Line | 8860 LURLINE ST
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City | ALTA LOMA
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State | CA
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Zip | 91701-4715
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Country | US
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Telephone | 909-303-0556
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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 |
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License Number State |
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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 | IMF88999
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License Number State | CA
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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 | 125456
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License Number State | CA
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