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General NPI Number Information
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NPI Number | 1770376212
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Entity Type | Individual
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Provider Name | ROSA KAREN LOPEZ ES
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 286 EUCLID AVE STE 206
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City | SAN DIEGO
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State | CA
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Zip | 92114-3612
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Country | US
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Telephone | 619-301-3386
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Fax |
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Provider Business Mailing Address
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Address Line | 292 EUCLID AVE STE 225
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City | SAN DIEGO
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State | CA
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Zip | 92114-3629
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Country | US
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Telephone | 858-392-5919
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Fax | 619-301-3386
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State | CA
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