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General NPI Number Information
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NPI Number | 1346099637
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Entity Type | Individual
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Provider Name | STEVEN MARK INFIELD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2024
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Last Update Date | 05/17/2024
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Provider Practice Location Address
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Address Line | 28038 DOROTHY DR
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City | AGOURA HILLS
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State | CA
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Zip | 91301-2687
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Country | US
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Telephone | 888-387-0105
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Fax |
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Provider Business Mailing Address
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Address Line | 17631 VENTURA BLVD # 205
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City | ENCINO
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State | CA
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Zip | 91316-3842
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Country | US
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Telephone | 213-944-8353
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 338725
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License Number State | CA
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