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General NPI Number Information
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NPI Number | 1194602342
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Entity Type | Organization
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Legal Business Name | N.S.G.G. CLINICAL PRACTICE & CO
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 13286 CRANSTON AVE
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City | SYLMAR
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State | CA
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Zip | 91342-3215
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Country | US
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Telephone | 818-554-1653
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Fax | 818-554-1653
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Provider Business Mailing Address
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Address Line | 13286 CRANSTON AVE
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City | SYLMAR
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State | CA
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Zip | 91342-3215
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Country | US
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Telephone | 818-554-1653
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Fax | 818-554-1653
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | SIOMARA M CALIXTRO
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Credential | LMFT
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Telephone | 818-554-1653
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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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