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General NPI Number Information
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NPI Number | 1891112595
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Entity Type | Individual
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Provider Name | DOLORES RUIZ
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Gender | Female
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 9401 PAINTER AVE
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City | WHITTIER
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State | CA
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Zip | 90605-2729
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Country | US
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Telephone | 562-698-9436
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Fax |
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Provider Business Mailing Address
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Address Line | 13135 BARTON RD
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City | WHITTIER
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State | CA
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Zip | 90605-2757
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Country | US
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Telephone | 562-903-7000
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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 | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 1111051-E-02-71/2790
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License Number State | ZZ
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 11110712.51-E02-71/2
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License Number State | ZZ
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