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General NPI Number Information
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NPI Number | 1316211634
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Entity Type | Individual
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Provider Name | MARTA BRINGAS LPC
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Gender | Female
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 2080 W EMPIRE AVE # 1049
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City | BURBANK
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State | CA
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Zip | 91504-3434
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Country | US
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Telephone | 323-452-2629
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Fax |
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Provider Business Mailing Address
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Address Line | 2080 W EMPIRE AVE # 1049
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City | BURBANK
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State | CA
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Zip | 91504-3434
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Country | US
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Telephone | 323-452-2629
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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 | C2526
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License Number State | OR
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