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General NPI Number Information
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NPI Number | 1801714837
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Entity Type | Individual
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Provider Name | MICAELA HELEN PERRY
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Gender | Female
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 29714 HAUN RD
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City | MENIFEE
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State | CA
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Zip | 92586-6540
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Country | US
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Telephone | 951-486-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 19069 VAN BUREN BLVD. STE 114 #425
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City | RIVERSIDE
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State | CA
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Zip | 92508-9171
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Country | US
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Telephone |
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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 | 135785
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License Number State | CA
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