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General NPI Number Information
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NPI Number | 1154180800
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Entity Type | Organization
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Legal Business Name | LISA HOROWITZ THERAPY
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Dates
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Enumeration Date | 03/15/2024
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 166 SANTA CLARA AVE STE 201
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City | OAKLAND
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State | CA
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Zip | 94610-1323
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Country | US
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Telephone | 510-993-0604
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Fax |
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Provider Business Mailing Address
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Address Line | 195 41ST ST UNIT 11069
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City | OAKLAND
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State | CA
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Zip | 94611-7002
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA HOROWITZ
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Credential | LMFT
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Telephone | 510-993-0604
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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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