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General NPI Number Information
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NPI Number | 1023038262
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Entity Type | Individual
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Provider Name | CAROLE H. FIELD M.F.T
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1717 W. MAGNOLIA BLVD. SUITE 102
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City | BURBANK
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State | CA
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Zip | 91506-1839
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Country | US
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Telephone | 323-964-2247
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Fax | 818-342-3982
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Provider Business Mailing Address
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Address Line | 6510 GEYSER AVE.
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City | RESEDA
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State | CA
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Zip | 91335-6012
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Country | US
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Telephone | 818-342-3960
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Fax | 818-342-3982
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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 | MFC23922
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License Number State | CA
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