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General NPI Number Information
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NPI Number | 1104296847
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Entity Type | Organization
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Legal Business Name | MEREDITH HINES REDDING LMFT
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Dates
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Enumeration Date | 10/06/2015
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Last Update Date | 10/06/2015
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Provider Practice Location Address
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Address Line | 10780 SANTA MONICA BLVD STE 290
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City | LOS ANGELES
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State | CA
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Zip | 90025-4777
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Country | US
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Telephone | 310-715-8175
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Fax |
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Provider Business Mailing Address
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Address Line | 10780 SANTA MONICA BLVD STE 290
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City | LOS ANGELES
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State | CA
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Zip | 90025-4777
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Country | US
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Telephone | 310-715-8175
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Fax |
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Authorized Official
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Title or Position | PSCYCHOTHERAPIST
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Name | MEREDITH HINES REDDING
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Credential | LMFT
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Telephone | 310-715-8175
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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 | 81052
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License Number State | CA
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