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General NPI Number Information
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NPI Number | 1043032303
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Entity Type | Organization
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Legal Business Name | MEGHAN EAKEN, LICENSED MARRIAGE AND FAMILY THERAPIST, INC.
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 205 AVENUE I STE 23
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City | REDONDO BEACH
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State | CA
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Zip | 90277-5619
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Country | US
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Telephone | 424-272-0543
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Fax |
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Provider Business Mailing Address
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Address Line | 205 AVENUE I STE 23
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City | REDONDO BEACH
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State | CA
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Zip | 90277-5619
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Country | US
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Telephone | 424-272-0543
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Fax |
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Authorized Official
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Title or Position | OWNER / MFT
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Name | MEGHAN NASH EAKEN
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Credential | MFT
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Telephone | 424-272-0543
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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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