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General NPI Number Information
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NPI Number | 1861950644
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Entity Type | Individual
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Provider Name | JENNIFER PEREZ-RANGEL
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Gender | Female
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1101 CALIFORNIA AVE STE 204
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City | CORONA
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State | CA
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Zip | 92881-7232
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Country | US
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Telephone | 951-523-0221
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Fax |
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Provider Business Mailing Address
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Address Line | 11003 DAY DR
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City | JURUPA VALLEY
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State | CA
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Zip | 91752-5102
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Country | US
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Telephone | 951-870-6926
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-52084
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License Number State | CA
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