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General NPI Number Information
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NPI Number | 1770340937
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Entity Type | Individual
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Provider Name | VALERIA DAYAMI MEDRANO
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Gender | Female
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 15233 VENTURA BLVD # 1507
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2201
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Country | US
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Telephone | 310-647-7616
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Fax |
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Provider Business Mailing Address
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Address Line | 700 W PLEASANT VALLEY RD APT 16
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City | OXNARD
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State | CA
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Zip | 93033-7546
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Country | US
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Telephone | 805-236-9817
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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 | CA
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