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General NPI Number Information
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NPI Number | 1376187070
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Entity Type | Individual
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Provider Name | FLORENCE ELISABETH STUECK AMFT
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Gender | Female
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 14930 VENTURA BLVD STE 230
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-3487
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Country | US
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Telephone | 626-415-8287
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Fax |
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Provider Business Mailing Address
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Address Line | 680 W SIERRA MADRE BLVD UNIT 9
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City | SIERRA MADRE
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State | CA
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Zip | 91024-2242
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Country | US
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Telephone | 310-980-2315
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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 | 116047
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License Number State | CA
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