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General NPI Number Information
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NPI Number | 1194849430
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Entity Type | Individual
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Provider Name | ANA CRISTINA CHIESA-KONTAROVSKY MFT
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 190 SIERRA CT C-8
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City | PALMDALE
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State | CA
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Zip | 93550-7607
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Country | US
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Telephone | 661-266-4783
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Fax | 661-267-1250
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Provider Business Mailing Address
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Address Line | 44444 20TH ST W
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City | LANCASTER
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State | CA
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Zip | 93534-2714
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Country | US
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Telephone | 661-951-0070
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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 | MFC37815
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License Number State | CA
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