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General NPI Number Information
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NPI Number | 1972353290
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Entity Type | Individual
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Provider Name | CHRYSTINA LONG PPS, APCC
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Gender | Female
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 540 E FOOTHILL BLVD STE 101
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City | SAN DIMAS
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State | CA
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Zip | 91773-1251
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Country | US
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Telephone | 626-779-8583
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Fax |
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Provider Business Mailing Address
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Address Line | 1403 ASHPORT ST
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City | POMONA
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State | CA
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Zip | 91768-2804
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Country | US
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Telephone | 626-318-2186
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | CA
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