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General NPI Number Information
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NPI Number | 1255495586
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Entity Type | Individual
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Provider Name | DONALD MARK KRIKORIAN LMFT
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Gender | Male
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 1396 W HERNDON AVE # 118
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City | FRESNO
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State | CA
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Zip | 93711-7126
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Country | US
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Telephone | 559-430-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1396 W HERNDON AVE
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City | FRESNO
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State | CA
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Zip | 93711
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Country | US
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Telephone | 559-430-4000
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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 | LMFT29114
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License Number State | CA
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