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General NPI Number Information
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NPI Number | 1184081531
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Entity Type | Individual
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Provider Name | XENIA MARSHALL LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/15/2016
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Last Update Date | 01/15/2016
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Provider Practice Location Address
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Address Line | 731 S HIGHLAND AVE
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City | FULLERTON
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State | CA
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Zip | 92832-2753
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Country | US
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Telephone | 714-446-5288
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Fax | 714-449-0726
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Provider Business Mailing Address
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Address Line | 36 HARMONY
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City | IRVINE
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State | CA
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Zip | 92602-0920
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Country | US
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Telephone | 714-328-1158
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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 | MFC 50533
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License Number State | CA
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