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General NPI Number Information
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NPI Number | 1831229079
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Entity Type | Individual
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Provider Name | JESSICA BRIGITTE PEREZ MSW
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 12501 PHILADELPHIA ST
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City | WHITTIER
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State | CA
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Zip | 90601-3900
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Country | US
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Telephone | 562-567-7417
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Fax |
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Provider Business Mailing Address
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Address Line | 11721 WHITTIER BLVD # 149
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City | WHITTIER
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State | CA
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Zip | 90601-3939
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Country | US
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Telephone | 562-567-7417
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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