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General NPI Number Information
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NPI Number | 1104197300
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Entity Type | Organization
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Legal Business Name | GRACE VALENTI, LMFT
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 12441 VENTURA CT 2ND FLOOR
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City | STUDIO CITY
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State | CA
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Zip | 91604-2417
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Country | US
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Telephone | 818-761-6162
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Fax | 818-761-6101
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Provider Business Mailing Address
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Address Line | 12441 VENTURA CT 2ND FLOOR
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City | STUDIO CITY
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State | CA
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Zip | 91604-2417
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Country | US
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Telephone | 818-761-6162
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Fax | 818-761-6101
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Authorized Official
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Title or Position | LICENSED MARRIAGE AND FAMILY THERAP
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Name | GRACE VALENTI
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Credential | LMFT
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Telephone | 818-761-6162
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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 | MFC 50199
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License Number State | CA
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