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General NPI Number Information
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NPI Number | 1760631097
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Entity Type | Individual
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Provider Name | MICHELLE CARRILLO
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Gender | Female
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 2934 E GARVEY AVE S STE 100
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City | WEST COVINA
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State | CA
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Zip | 91791-2180
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Country | US
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Telephone | 626-379-3587
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Fax |
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Provider Business Mailing Address
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Address Line | 2940 E GARVEY AVE S
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City | WEST COVINA
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State | CA
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Zip | 91791-2116
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Country | US
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Telephone | 626-214-0301
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 111533
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 111533
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License Number State | CA
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