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General NPI Number Information
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NPI Number | 1003169228
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Entity Type | Individual
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Provider Name | RITA BALAKHANE LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/25/2012
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 2001 S BARRINGTON AVE STE 203
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City | W LOS ANGELES
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State | CA
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Zip | 90025-5385
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Country | US
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Telephone | 310-850-6926
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Fax |
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Provider Business Mailing Address
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Address Line | 324 N PALM DR UNIT 402
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4190
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Country | US
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Telephone | 310-850-6926
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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 | LMFT40420
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License Number State | CA
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