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General NPI Number Information
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NPI Number | 1366072043
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Entity Type | Individual
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Provider Name | LINDA LAPETINO
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Gender | Female
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 3751 MOTOR AVE UNIT 341552
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City | LOS ANGELES
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State | CA
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Zip | 90034-8076
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Country | US
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Telephone | 103-430-8638
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Fax |
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Provider Business Mailing Address
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Address Line | 3751 MOTOR AVE UNIT 341552
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City | LOS ANGELES
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State | CA
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Zip | 90034-8076
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Country | US
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Telephone | 103-430-8638
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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 | LMFT150254
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License Number State | CA
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