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General NPI Number Information
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NPI Number | 1811538879
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Entity Type | Organization
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Legal Business Name | ALFREDO LOZANO, LMFT
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 3134 WILLOW AVE STE 103
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City | CLOVIS
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State | CA
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Zip | 93612-4747
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Country | US
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Telephone | 559-335-3808
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Fax | 479-364-0018
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Provider Business Mailing Address
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Address Line | 2905 SW BRIGHT RD APT 21
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City | BENTONVILLE
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State | AR
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Zip | 72713-4302
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Country | US
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Telephone | 559-335-3808
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALFREDO LOZANO
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Credential | M.S., LMFT
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Telephone | 559-335-3808
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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 |
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