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General NPI Number Information
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NPI Number | 1245145853
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Entity Type | Individual
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Provider Name | DEBORAH LINCOW
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 5307 SEPULVEDA BLVD APT 305
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City | SHERMAN OAKS
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State | CA
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Zip | 91411-3425
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Country | US
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Telephone | 310-795-1509
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5213
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City | SHERMAN OAKS
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State | CA
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Zip | 91413-5213
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Country | US
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Telephone |
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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 | 164916
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License Number State | CA
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