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General NPI Number Information
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NPI Number | 1396355467
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Entity Type | Organization
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Legal Business Name | ALPHA & OMEGA FAMILY COUNSELING, INC.
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 400 MOBIL AVE # D29
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City | CAMARILLO
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State | CA
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Zip | 93010-6338
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Country | US
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Telephone | 805-302-4996
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8152
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City | OXNARD
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State | CA
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Zip | 93031-8152
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Country | US
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Telephone | 805-302-4996
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR
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Name | YASMIN FLORES
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Credential | LMFT
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Telephone | 805-302-4996
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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 |
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License Number State |
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