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General NPI Number Information
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NPI Number | 1255973194
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Entity Type | Individual
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Provider Name | DEBORAH ANN EDWARDS
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Gender | Female
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Dates
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Enumeration Date | 10/11/2019
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 4325 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90029-2174
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Country | US
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Telephone | 310-388-7983
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Fax |
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Provider Business Mailing Address
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Address Line | 424 CHRISTOPHER CT
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City | RIDGECREST
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State | CA
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Zip | 93555-6009
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Country | US
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Telephone | 909-515-0441
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APCC16169
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APCC16969
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License Number State | CA
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