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General NPI Number Information
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NPI Number | 1003051004
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Entity Type | Individual
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Provider Name | PRISCILLA ESTHER PASCUAL M.S., LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/05/2008
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 10221 COMPTON AVE SUITE 203
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City | LOS ANGELES
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State | CA
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Zip | 90002-2802
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Country | US
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Telephone | 310-783-4677
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1314
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City | LOMITA
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State | CA
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Zip | 90717-5314
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Country | US
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Telephone | 310-753-5877
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC37145
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License Number State | CA
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