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General NPI Number Information
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NPI Number | 1912260589
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Entity Type | Individual
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Provider Name | EFTHYMIA M PYLADAKI
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Gender | Female
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 4279 TIERRA REJADA RD
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City | MOORPARK
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State | CA
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Zip | 93021-3775
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Country | US
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Telephone | 805-222-2323
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Fax | 805-222-2333
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Provider Business Mailing Address
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Address Line | 1040 FLYNN RD
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City | CAMARILLO
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State | CA
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Zip | 93012-5092
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Country | US
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Telephone | 805-673-3930
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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 | 1095670
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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 | 50310
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License Number State | CA
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