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General NPI Number Information
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NPI Number | 1376126201
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Entity Type | Organization
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Legal Business Name | FAMILY AND CHILD THERAPY WITH MEGAN INC
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 2070 BUSINESS CENTER DR STE 110
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City | IRVINE
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State | CA
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Zip | 92612-1112
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Country | US
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Telephone | 818-621-8386
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Fax |
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Provider Business Mailing Address
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Address Line | 23986 ALISO CREEK RD # 555
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-3908
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Country | US
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Telephone | 949-529-0451
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | MEGAN BUHRLEN
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Credential | LMFT
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Telephone | 818-621-8386
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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 |
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License Number State |
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