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General NPI Number Information
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NPI Number | 1861823627
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Entity Type | Individual
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Provider Name | CHRISTINE GALVEZ LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/04/2013
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 8325 HAVEN AVE STE 207
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3894
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Country | US
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Telephone | 909-480-4881
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Fax |
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Provider Business Mailing Address
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Address Line | 140 HARVARD AVE UNIT 1743
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City | CLAREMONT
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State | CA
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Zip | 91711-7180
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Country | US
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Telephone | 909-480-4881
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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 | LMFT53304
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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 | MFT 53304
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License Number State | CA
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