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General NPI Number Information
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NPI Number | 1346763919
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Entity Type | Individual
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Provider Name | MORDECHAI POLITYKO LMFT
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Gender | Male
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 2942 N 24TH ST STE 115 PMB 100010
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City | PHOENIX
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State | AZ
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Zip | 85016-7849
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Country | US
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Telephone | 323-974-2939
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Fax |
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Provider Business Mailing Address
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Address Line | 5665 WILSHIRE BLVD # 1147
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City | LOS ANGELES
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State | CA
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Zip | 90036-3710
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Country | US
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Telephone | 323-974-2939
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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 | 14227392-3902
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License Number State | UT
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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 | 0717002377
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 15608
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 111109
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License Number State | CA
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