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General NPI Number Information
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NPI Number | 1245883289
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Entity Type | Individual
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Provider Name | TRAYSI YOSELIN FLORES IZQUIERDO LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 6400 LAUREL CANYON BLVD STE 500
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-1562
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Country | US
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Telephone | 818-901-6376
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Fax |
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Provider Business Mailing Address
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Address Line | 10913 WHIPPLE ST UNIT 306
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City | N HOLLYWOOD
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State | CA
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Zip | 91602-4309
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Country | US
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Telephone | 650-207-3431
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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 | 139274
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License Number State | CA
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