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General NPI Number Information
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NPI Number | 1023418068
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Entity Type | Individual
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Provider Name | DANIEL FACTOR LMFT #82033
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Gender | Male
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 02/17/2024
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Provider Practice Location Address
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Address Line | 6310 SAN VICENTE BLVD STE 410
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City | LOS ANGELES
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State | CA
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Zip | 90048-5457
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Country | US
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Telephone | 424-653-6429
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Fax |
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Provider Business Mailing Address
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Address Line | 6310 SAN VICENTE BLVD STE 410
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City | LOS ANGELES
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State | CA
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Zip | 90048-5457
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Country | US
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Telephone | 310-400-0562
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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 | 82033
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License Number State | CA
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Taxonomy #2
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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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