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General NPI Number Information
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NPI Number | 1417262775
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Entity Type | Individual
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Provider Name | ALBERTHA SMITH SANDERS M.A., L.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 08/11/2010
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Provider Practice Location Address
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Address Line | 14228 ERWIN
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City | VAN NUYS
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State | CA
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Zip | 91401
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Country | US
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Telephone | 818-787-1930
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 394
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City | SANTA MONICA
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State | CA
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Zip | 90406-0394
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Country | US
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Telephone |
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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 | 000513-1
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License Number State | NY
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