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General NPI Number Information
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NPI Number | 1336739937
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Entity Type | Individual
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Provider Name | RICHARD E. NASEF MS LMFT
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Gender | Male
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 10 BONITO CT
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City | SANTA FE
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State | NM
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Zip | 87508-8311
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Country | US
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Telephone | 310-316-6413
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Fax |
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Provider Business Mailing Address
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Address Line | 10 BONITO CT
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City | SANTA FE
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State | NM
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Zip | 87508-8311
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Country | US
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Telephone | 310-316-6413
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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 | LMFT25725
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | CMF0067452
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License Number State | NM
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