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General NPI Number Information
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NPI Number | 1417071622
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Entity Type | Individual
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Provider Name | SANDRA LORENA ROBLES LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 855 N LARK ELLEN AVE STE A
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City | WEST COVINA
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State | CA
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Zip | 91791-1099
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Country | US
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Telephone | 626-678-6151
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Fax | 626-727-6057
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Provider Business Mailing Address
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Address Line | PO BOX 1942
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City | WEST COVINA
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State | CA
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Zip | 91793-1942
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Country | US
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Telephone | 162-667-8615
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Fax | 626-727-6057
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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 | 50094
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License Number State | CA
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