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General NPI Number Information
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NPI Number | 1962924092
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Entity Type | Individual
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Provider Name | PAULA REBECCA GONSALEZ
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Gender | Female
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Dates
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Enumeration Date | 07/11/2017
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 10417 MAIN ST
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City | LAMONT
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State | CA
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Zip | 93241-1726
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Country | US
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Telephone | 661-845-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 7839 BURGUNDY AVE
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City | LAMONT
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State | CA
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Zip | 93241-1338
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 108488
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 108488
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License Number State | CA
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