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General NPI Number Information
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NPI Number | 1225643950
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Entity Type | Organization
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Legal Business Name | TANA NOONAN, LICENSED MARRIAGE AND FAMILY THERAPIST, INC
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 29970 TECHNOLOGY DR STE 208H
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City | MURRIETA
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State | CA
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Zip | 92563-2649
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Country | US
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Telephone | 951-384-1380
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Fax |
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Provider Business Mailing Address
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Address Line | 29970 TECHNOLOGY DR STE 208H
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City | MURRIETA
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State | CA
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Zip | 92563-2649
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Country | US
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Telephone | 951-384-1380
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | TANA NOONAN
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Credential | MA, LMFT
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Telephone | 951-384-1380
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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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