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General NPI Number Information
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NPI Number | 1831249853
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Entity Type | Individual
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Provider Name | MS. CHRISTINE VALENZUELA
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1322 N AVALON BLVD
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City | WILMINGTON
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State | CA
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Zip | 90744-2639
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Country | US
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Telephone | 310-513-1300
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Fax | 310-513-1311
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Provider Business Mailing Address
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Address Line | 330 W 10TH ST
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City | SAN PEDRO
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State | CA
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Zip | 90731-3716
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Country | US
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Telephone | 310-847-0086
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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 |
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License Number State |
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