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General NPI Number Information
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NPI Number | 1346115946
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Entity Type | Individual
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Provider Name | KIRSTEN ROSE PRATER MA
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Gender | Female
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 351 ROLLING OAKS DR STE 206
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1281
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Country | US
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Telephone | 818-917-6596
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Fax |
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Provider Business Mailing Address
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Address Line | 1280 UPPINGHAM DR
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-6436
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Country | US
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Telephone | 818-448-0140
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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 | AMFT157219
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License Number State | CA
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