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NPI 1760891659

NPI 1760891659 : MARIA PERLA : LAMONT, CA

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General NPI Number Information
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    NPI Number           |    1760891659
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    Entity Type          |    Individual 
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    Provider Name        |    MARIA PERLA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/05/2014
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    Last Update Date     |    05/30/2024
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Provider Practice Location Address
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    Address Line         |    10417 MAIN ST 
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    City                 |    LAMONT
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    State                |    CA
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    Zip                  |    93241-1726
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    Country              |    US
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    Telephone            |    661-845-5100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1559 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93302-1559
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    Country              |    US
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    Telephone            |    661-635-3050
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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       |    116759
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    116759
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    116759
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    License Number State |    CA
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