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General NPI Number Information
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NPI Number | 1811275860
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Entity Type | Individual
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Provider Name | VERONICA ELLEN MINCHACA BA, CATC-II
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Gender | Female
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 07/25/2011
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Provider Practice Location Address
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Address Line | 1125 W 6TH ST SUITE 103
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City | LOS ANGELES
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State | CA
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Zip | 90017-1833
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Country | US
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Telephone | 213-202-3970
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Fax | 213-975-9256
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Provider Business Mailing Address
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Address Line | 1630 NEIL ARMSTRONG ST #208
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City | MONTEBELLO
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State | CA
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Zip | 90640-2067
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Country | US
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Telephone | 323-722-1794
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 051197-II
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License Number State | CA
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