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General NPI Number Information
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NPI Number | 1003557513
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Entity Type | Organization
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Legal Business Name | TIFFANY SUNDE, PSYD, A MARRIAGE & FAMILY THERAPY CORPORATION
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 2001 S BARRINGTON AVE STE 312
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City | LOS ANGELES
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State | CA
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Zip | 90025-5379
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Country | US
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Telephone | 323-645-0582
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Fax |
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Provider Business Mailing Address
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Address Line | 2247 PROSSER AVE
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City | LOS ANGELES
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State | CA
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Zip | 90064-2321
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Country | US
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Telephone | 619-339-1144
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | DR. TIFFANY ANN SUNDE
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Credential | LMFT
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Telephone | 619-339-1144
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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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