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General NPI Number Information
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NPI Number | 1982264966
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Entity Type | Organization
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Legal Business Name | ROSA LEE ACEVEDO PH.D. APC
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 06/20/2019
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Provider Practice Location Address
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Address Line | 3593 ARLINGTON AVE STE J
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City | RIVERSIDE
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State | CA
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Zip | 92506-3935
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Country | US
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Telephone | 951-369-5211
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Fax | 951-276-0482
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Provider Business Mailing Address
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Address Line | 3593 ARLINGTON AVE STE J
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City | RIVERSIDE
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State | CA
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Zip | 92506-3935
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Country | US
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Telephone | 951-369-5211
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Fax | 951-276-0482
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Authorized Official
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Title or Position | OWNER
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Name | ROSA LEE ACEVEDO
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Credential |
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Telephone | 951-369-5211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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