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General NPI Number Information
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NPI Number | 1396293387
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Entity Type | Organization
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Legal Business Name | KIMBERLEY QUINLAN A MARRIAGE AND FAMILY THERAPY CORPORATION
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Dates
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Enumeration Date | 09/19/2016
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Last Update Date | 09/19/2016
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Provider Practice Location Address
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Address Line | 23801 CALABASAS RD STE 2036
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City | CALABASAS
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State | CA
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Zip | 91302-3462
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Country | US
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Telephone | 818-452-3510
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Fax |
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Provider Business Mailing Address
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Address Line | 23801 CALABASAS RD STE 2036
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City | CALABASAS
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State | CA
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Zip | 91302-3462
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Country | US
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Telephone | 818-452-3510
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | MRS. KIMBERLEY JAYNE QUINLAN
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Credential | MA
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Telephone | 818-452-3510
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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 | MFC#78448
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License Number State | CA
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