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General NPI Number Information
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NPI Number | 1902604804
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Entity Type | Individual
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Provider Name | ERIC LIMAS R1520170823
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Gender | Male
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 2521 LONG BEACH AVE
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City | LOS ANGELES
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State | CA
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Zip | 90058-1324
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Country | US
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Telephone | 323-263-6642
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 E AMAR RD APT 147
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City | WEST COVINA
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State | CA
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Zip | 91792-1718
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Country | US
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Telephone | 213-281-3634
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | R1520170823
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License Number State | CA
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