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General NPI Number Information
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NPI Number | 1033772348
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Entity Type | Organization
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Legal Business Name | INSIGHT CHILDREN & FAMILY THERAPY INC
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Dates
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Enumeration Date | 04/22/2019
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 16168 BEACH BLVD STE 215
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-3881
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Country | US
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Telephone | 714-261-3278
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Fax |
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Provider Business Mailing Address
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Address Line | 416 11TH ST
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-4508
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DIANA BORSACK
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Credential | LMFT
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Telephone | 714-261-3278
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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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