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General NPI Number Information
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NPI Number | 1366569469
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Entity Type | Individual
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Provider Name | ALINE SMITH MFT
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 8621 BELLANCA AVE STE 215
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City | LOS ANGELES
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State | CA
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Zip | 90045-4432
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Country | US
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Telephone | 310-641-1633
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Fax | 310-216-7524
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Provider Business Mailing Address
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Address Line | PO BOX 372
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City | LAWNDALE
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State | CA
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Zip | 90260-0372
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Country | US
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Telephone | 310-644-3300
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Fax | 310-872-5505
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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 | MFC22617
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License Number State | CA
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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 | MFC22617
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License Number State | CA
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