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General NPI Number Information
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NPI Number | 1356376271
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Entity Type | Individual
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Provider Name | ANDRE PIERRETTE DUCHESNEAU MFT, PH.D
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Gender | Female
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 420 S BEVERLY DR SUITE 100
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-4426
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Country | US
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Telephone | 310-284-4881
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Fax | 310-556-1402
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Provider Business Mailing Address
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Address Line | 138 N HAMILTON DR #9
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2232
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Country | US
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Telephone | 323-651-5834
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Fax | 310-556-1402
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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 | MFT 28378
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License Number State | CA
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