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General NPI Number Information
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NPI Number | 1235622259
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Entity Type | Individual
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Provider Name | STEPHANIE BOONE LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 238 W MAIN ST STE 201
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City | TUSTIN
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State | CA
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Zip | 92780-7714
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Country | US
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Telephone | 949-445-6034
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Fax |
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Provider Business Mailing Address
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Address Line | 238 W MAIN ST STE 201
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City | TUSTIN
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State | CA
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Zip | 92780-7714
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Country | US
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Telephone | 949-445-6034
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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 | LMFT99190
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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 | TPMF1936
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 205671
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 99190
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License Number State | CA
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