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General NPI Number Information
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NPI Number | 1073176277
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Entity Type | Organization
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Legal Business Name | CARRIE AUKERMAN, LICENSED MARRIAGE AND FAMILY THERAPIST, INC
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 04/15/2019
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Provider Practice Location Address
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Address Line | 190 SIERRA CT STE C4
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City | PALMDALE
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State | CA
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Zip | 93550-7609
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Country | US
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Telephone | 805-231-7130
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Fax | 805-777-4847
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Provider Business Mailing Address
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Address Line | 2322 MOUNTAIN CREST CIR
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-2655
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Country | US
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Telephone | 805-231-7130
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARRIE AUKERMAN
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Credential | LMFT
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Telephone | 805-231-7130
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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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