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General NPI Number Information
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NPI Number | 1134847353
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Entity Type | Organization
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Legal Business Name | ROYAL DREAMS MARRIAGE AND FAMILY THERAPY INC
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 24910 WASHINGTON AVE STE 301
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City | MURRIETA
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State | CA
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Zip | 92562-9284
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Country | US
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Telephone | 951-229-4863
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Fax |
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Provider Business Mailing Address
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Address Line | 24910 WASHINGTON AVE STE 301
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City | MURRIETA
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State | CA
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Zip | 92562-9284
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Country | US
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Telephone | 951-229-4863
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | KIA NICHELLE
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Credential |
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Telephone | 951-229-4863
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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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