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NPI 1386761492

NPI 1386761492 : WESTON JOSHU TAUSSIG MFT : PASADENA, CA

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General NPI Number Information
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    NPI Number           |    1386761492
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    Entity Type          |    Individual 
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    Provider Name        |    WESTON JOSHU TAUSSIG MFT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/23/2007
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    Last Update Date     |    02/29/2024
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Provider Practice Location Address
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    Address Line         |    625 S FAIR OAKS AVE STE 300 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91105-2672
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    Country              |    US
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    Telephone            |    626-441-4221
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    Fax                  |    626-441-6479
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Provider Business Mailing Address
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    Address Line         |    2055 BARNETT WAY 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90032-4105
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    Country              |    US
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    Telephone            |    213-924-3436
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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       |    44083
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    License Number State |    CA
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