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General NPI Number Information
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NPI Number | 1346012341
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Entity Type | Organization
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Legal Business Name | AMANDA FEINBERG MARRIAGE AND FAMILY THERAPIST, INC.
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 13101 W WASHINGTON BLVD # 217
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City | LOS ANGELES
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State | CA
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Zip | 90066-5131
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Country | US
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Telephone | 805-231-6162
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Fax |
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Provider Business Mailing Address
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Address Line | 4115 GLENCOE AVE APT 112
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City | MARINA DEL REY
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State | CA
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Zip | 90292-3800
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Country | US
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Telephone | 805-231-6162
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. AMANDA HALE FEINBERG
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Credential | LMFT
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Telephone | 805-231-6162
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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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