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NPI 1861523425

NPI 1861523425 : FERNANDA ARMENTA-SCHMITT PH.D : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1861523425
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    Entity Type          |    Individual 
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    Provider Name        |    FERNANDA ARMENTA-SCHMITT PH.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/07/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    12714 AVALON BLVD 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90061-2730
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    Country              |    US
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    Telephone            |    323-664-2153
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    Fax                  |    323-665-3828
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Provider Business Mailing Address
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    Address Line         |    3638 BRAYTON AVE 
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    City                 |    LONG BEACH
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    State                |    CA
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    Zip                  |    90807-4208
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    Country              |    US
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    Telephone            |    323-664-2153
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    Fax                  |    323-665-3828
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PSY15397
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    License Number State |    CA
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