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General NPI Number Information
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NPI Number | 1023149887
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Entity Type | Individual
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Provider Name | LYNNETT YOLANDA TOOKS-LOVE AMFT 97985
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 566 S SAN PEDRO ST
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City | LOS ANGELES
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State | CA
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Zip | 90013-2102
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Country | US
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Telephone | 213-627-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 W 50TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90037
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Country | US
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Telephone | 323-508-9982
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Fax | 424-272-9554
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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 | 97985
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 199739
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 137946
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License Number State | CA
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