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General NPI Number Information
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NPI Number | 1215288964
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Entity Type | Individual
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Provider Name | ERIN LEIGH LOKEN M.S., LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/20/2012
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 4016 SOUTH 3RD ST # 1141
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-5848
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Country | US
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Telephone | 213-555-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 8152 SW HALL BLVD # 1088
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City | BEAVERTON
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State | OR
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Zip | 97008-6415
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Country | US
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Telephone | 213-555-5555
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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 | 52207
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T1494
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License Number State | OR
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