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General NPI Number Information
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NPI Number | 1427592682
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Entity Type | Organization
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Legal Business Name | THERAPY NATURALLY
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 4305 TORRANCE BLVD STE 300
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City | TORRANCE
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State | CA
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Zip | 90503-4412
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Country | US
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Telephone | 310-371-0197
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Fax | 310-868-2593
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Provider Business Mailing Address
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Address Line | 26130 NARBONNE AVE UNIT 138
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City | LOMITA
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State | CA
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Zip | 90717-2934
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Country | US
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Telephone | 310-955-8989
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Fax |
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Authorized Official
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Title or Position | OWNER/MARRIAGE AND FAMILY THERAPIST
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Name | MS. LEAH ROSE PENSO
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Credential | MS
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Telephone | 310-955-8989
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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 | 79119
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License Number State | CA
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