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General NPI Number Information
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NPI Number | 1821005877
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Entity Type | Individual
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Provider Name | LORI PASION-GONZALES PHD
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 218 N CONYER ST STE C
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City | VISALIA
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State | CA
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Zip | 93291-4755
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Country | US
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Telephone | 559-745-5674
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Fax |
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Provider Business Mailing Address
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Address Line | 502 S WILLIS ST
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City | VISALIA
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State | CA
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Zip | 93277-2526
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Country | US
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Telephone | 559-735-9584
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Fax | 559-735-9595
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PSY14607
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License Number State | CA
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