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General NPI Number Information
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NPI Number | 1215077821
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Entity Type | Individual
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Provider Name | JON BRIAN ONEAL M.F.T
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 17315 STUDEBAKER RD SUITE 130
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City | CERRITOS
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State | CA
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Zip | 90703-2563
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Country | US
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Telephone | 562-924-1277
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Fax | 562-860-6283
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Provider Business Mailing Address
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Address Line | 5403 FACULTY AVE
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City | LAKEWOOD
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State | CA
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Zip | 90712-1845
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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 |
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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-20277
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License Number State | CA
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