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General NPI Number Information
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NPI Number | 1245036011
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Entity Type | Organization
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Legal Business Name | AUTHENTIC PATH INDIVIDUAL AND COUPLES THERAPY
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 35876 HAZELHURST ST UNIT 1
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City | MURRIETA
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State | CA
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Zip | 92562-2831
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Country | US
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Telephone | 858-357-9704
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Fax |
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Provider Business Mailing Address
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Address Line | 35876 HAZELHURST ST UNIT 1
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City | MURRIETA
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State | CA
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Zip | 92562-2831
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Country | US
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Telephone | 858-357-9704
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | TEAL BERKOWITZ
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Credential | MA, LMFT
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Telephone | 760-265-5090
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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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