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General NPI Number Information
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NPI Number | 1427189430
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Entity Type | Individual
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Provider Name | ELLEN R OBRIEN M.A., MFT
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 03/21/2012
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Provider Practice Location Address
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Address Line | 44285 LOWTREE AVE
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City | LANCASTER
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State | CA
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Zip | 93534-4170
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Country | US
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Telephone | 661-341-3900
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Fax | 661-341-3904
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Provider Business Mailing Address
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Address Line | 43765 BRANDON THOMAS WAY
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City | LANCASTER
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State | CA
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Zip | 93536-1777
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Country | US
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Telephone | 661-733-0445
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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 | MFC46615
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License Number State | CA
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