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General NPI Number Information
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NPI Number | 1356838429
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Entity Type | Individual
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Provider Name | REBECCA J. IRWIN MEALER LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/15/2018
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Last Update Date | 04/15/2018
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Provider Practice Location Address
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Address Line | 27201 TOURNEY RD STE 201Q
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City | VALENCIA
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State | CA
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Zip | 91355-1804
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Country | US
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Telephone | 626-415-6781
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Fax |
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Provider Business Mailing Address
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Address Line | 27943 SECO CANYON RD # 513
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City | SANTA CLARITA
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State | CA
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Zip | 91350-3872
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Country | US
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Telephone | 661-644-9323
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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 | 105898
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License Number State | CA
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