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General NPI Number Information
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NPI Number | 1295201267
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Entity Type | Organization
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Legal Business Name | AVEDIAN MARRIAGE AND FAMILY THERAPY CORPORATION
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 10/17/2018
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Provider Practice Location Address
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Address Line | 15233 VENTURA BLVD STE 1208
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2271
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Country | US
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Telephone | 818-426-2495
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Fax | 818-783-2927
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Provider Business Mailing Address
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Address Line | 15233 VENTURA BLVD STE 1208
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2271
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Country | US
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Telephone | 818-426-2495
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Fax | 818-783-2927
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS ANITA AVEDIAN
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Credential | MS, LMFT
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Telephone | 818-426-2495
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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 |
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License Number State |
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