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General NPI Number Information
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NPI Number | 1407270960
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Entity Type | Individual
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Provider Name | SARAH PASQUIN LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 1328 WESTWOOD BLVD SUITE 2
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City | LOS ANGELES
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State | CA
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Zip | 90024-4941
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Country | US
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Telephone | 424-272-1104
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Fax |
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Provider Business Mailing Address
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Address Line | 1106 GRANT AVE
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City | VENICE
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State | CA
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Zip | 90291-5021
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Country | US
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Telephone | 310-827-1759
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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 | 96757
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License Number State | CA
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