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General NPI Number Information
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NPI Number | 1730724113
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Entity Type | Individual
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Provider Name | DELIA GUADALUPE MORALES
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Gender | Female
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Dates
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Enumeration Date | 11/09/2019
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Last Update Date | 11/09/2019
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Provider Practice Location Address
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Address Line | 301 N PRAIRIE AVE STE 601
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City | INGLEWOOD
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State | CA
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Zip | 90301-4513
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Country | US
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Telephone | 818-319-6843
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Fax |
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Provider Business Mailing Address
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Address Line | 1305 INGRAHAM ST APT 210
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City | LOS ANGELES
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State | CA
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Zip | 90017-2372
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Country | US
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Telephone | 323-338-8498
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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