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General NPI Number Information
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NPI Number | 1447015003
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Entity Type | Organization
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Legal Business Name | AMOR FAMILY THERAPY PROF CORP
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Dates
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Enumeration Date | 02/13/2024
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 23550 LYONS AVE STE 211
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City | NEWHALL
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State | CA
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Zip | 91321-5745
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Country | US
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Telephone | 661-230-6267
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Fax |
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Provider Business Mailing Address
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Address Line | 23550 LYONS AVE STE 211
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City | NEWHALL
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State | CA
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Zip | 91321-5745
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Country | US
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Telephone | 661-230-6267
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JURIANA HERNANDEZ
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Credential | LMFT
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Telephone | 661-505-0680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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