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General NPI Number Information
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NPI Number | 1255703831
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Entity Type | Organization
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Legal Business Name | KAREN BLOCH, MFT
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 10/22/2015
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Provider Practice Location Address
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Address Line | 3252 HOLIDAY CT SUITE 227
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City | LA JOLLA
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State | CA
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Zip | 92037-0027
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Country | US
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Telephone | 858-455-1355
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Fax | 858-455-5556
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Provider Business Mailing Address
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Address Line | 3252 HOLIDAY CT SUITE 227
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City | LA JOLLA
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State | CA
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Zip | 92037-0027
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Country | US
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Telephone | 858-455-1355
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Fax | 858-455-5556
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Authorized Official
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Title or Position | INDEPENDENT SOLE PROVIDER
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Name | MS. KAREN BLOCH
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Credential | MFT
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Telephone | 858-455-1355
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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 | LMFT38192
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License Number State | CA
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