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General NPI Number Information
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NPI Number | 1457728859
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Entity Type | Individual
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Provider Name | LAURA JANE KANSTEINER LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/01/2015
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Last Update Date | 09/01/2015
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Provider Practice Location Address
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Address Line | 28310 ROADSIDE DR SUITE 235
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City | AGOURA HILLS
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State | CA
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Zip | 91301-4923
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Country | US
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Telephone | 818-852-7077
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4157
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City | MALIBU
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State | CA
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Zip | 90264-4157
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Country | US
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Telephone | 310-924-5921
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMFT50406
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License Number State | CA
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