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General NPI Number Information
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NPI Number | 1396010419
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Entity Type | Individual
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Provider Name | DONALD RAY HULEN MFTI
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Gender | Male
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 11905 S CENTRAL AVE 204 AND 205
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City | LOS ANGELES
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State | CA
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Zip | 90059-2897
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Country | US
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Telephone | 213-200-7174
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Fax |
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Provider Business Mailing Address
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Address Line | 4435 W 129TH ST 105
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City | HAWTHORNE
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State | CA
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Zip | 90250-5178
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Country | US
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Telephone | 213-200-7174
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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 | 61250
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License Number State | CA
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