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General NPI Number Information
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NPI Number | 1831385616
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Entity Type | Individual
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Provider Name | VERONICA RUBY ORELLANA M.A., MFT INTERN
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Gender | Female
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 09/05/2018
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Provider Practice Location Address
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Address Line | 1000 CORPORATE CENTER DR STE 650
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City | MONTEREY PARK
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State | CA
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Zip | 91754
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Country | US
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Telephone | 626-957-8442
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Fax | 626-266-5780
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Provider Business Mailing Address
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Address Line | 9280 BIRCH ST
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-2501
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Country | US
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Telephone | 323-983-3270
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF 54874
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF76653
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License Number State | CA
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