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General NPI Number Information
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NPI Number | 1306696398
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Entity Type | Individual
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Provider Name | ROBERT J. O'BRIEN LMFT
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Gender | Male
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 627 N LARCHMONT BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90004-1307
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Country | US
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Telephone | 424-442-0925
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Fax |
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Provider Business Mailing Address
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Address Line | 7275 FRANKLIN AVE APT 305
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City | LOS ANGELES
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State | CA
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Zip | 90046-3088
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Country | US
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Telephone |
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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 | 145638
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License Number State | CA
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