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General NPI Number Information
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NPI Number | 1821950882
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Entity Type | Individual
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Provider Name | NICOLE MUNIZ
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Gender | Female
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 500 S MAIN ST STE 600
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City | ORANGE
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State | CA
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Zip | 92868-4514
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Country | US
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Telephone | 714-542-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 4003 MESA RD # 103C
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City | IRVINE
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State | CA
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Zip | 92617-5003
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Country | US
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Telephone | 707-972-3696
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CA
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