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General NPI Number Information
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NPI Number | 1730830928
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Entity Type | Individual
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Provider Name | SHEENA K GILL
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Gender | Female
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 11741 TELEGRAPH RD
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-3681
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Country | US
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Telephone | 562-949-8455
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Fax |
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Provider Business Mailing Address
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Address Line | 15950 RIDGEVIEW LN
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City | LA MIRADA
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State | CA
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Zip | 90638-3489
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Country | US
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Telephone | 562-310-2098
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ASW104779
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License Number State | CA
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