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General NPI Number Information
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NPI Number | 1093441768
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Entity Type | Individual
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Provider Name | MONICA ESTELLE CHERNOFF
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Gender | Female
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 2615 PACIFIC COAST HWY STE 326
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City | HERMOSA BEACH
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State | CA
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Zip | 90254-2227
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Country | US
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Telephone | 424-340-5636
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Fax |
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Provider Business Mailing Address
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Address Line | 904 SILVER SPUR RD # 427
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274-3800
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Country | US
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Telephone | 310-987-5099
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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 | 150951
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License Number State | CA
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