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General NPI Number Information
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NPI Number | 1235821273
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Entity Type | Individual
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Provider Name | PAMELA M LABELLA LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 663 LILLIAN WAY
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City | LOS ANGELES
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State | CA
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Zip | 90004-1107
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Country | US
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Telephone | 747-217-2934
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Fax |
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Provider Business Mailing Address
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Address Line | 3940 LAUREL CANYON BLVD # 1488
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City | STUDIO CITY
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State | CA
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Zip | 91604-3709
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Country | US
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Telephone | 747-217-2934
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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 | 139357
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License Number State | CA
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