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General NPI Number Information
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NPI Number | 1891518262
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Entity Type | Individual
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Provider Name | ELIZABETH MOJICA PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 999 N TUSTIN AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-3528
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Country | US
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Telephone | 714-545-5550
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Fax | 714-708-2588
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Provider Business Mailing Address
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Address Line | 12312 TWINTREE AVE
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City | GARDEN GROVE
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State | CA
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Zip | 92840-3819
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Country | US
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Telephone | 714-376-7348
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Fax | 714-376-7348
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95032686
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License Number State | CA
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