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General NPI Number Information
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NPI Number | 1427684661
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Entity Type | Individual
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Provider Name | LUCY COTTER
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Gender | Female
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 205 N LARCHMONT BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90004-3706
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Country | US
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Telephone | 323-549-5377
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Fax |
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Provider Business Mailing Address
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Address Line | 13200 ADDISON ST
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2106
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Country | US
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Telephone | 818-324-8297
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | MFCC46671
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License Number State | CA
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