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General NPI Number Information
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NPI Number | 1306508882
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Entity Type | Organization
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Legal Business Name | RELATIONSHIP WELL- MARRIAGE & SEX THERAPY
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Dates
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Enumeration Date | 10/12/2021
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 1920 HILLHURST AVE # 1017
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City | LOS ANGELES
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State | CA
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Zip | 90027-2712
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Country | US
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Telephone | 305-787-3677
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 HILLHURST AVE # 1017
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City | LOS ANGELES
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State | CA
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Zip | 90027-2712
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Country | US
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Telephone | 305-787-3677
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LYNDSEY MOTAREFI
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Credential | PHD
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Telephone | 860-575-5242
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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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