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General NPI Number Information
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NPI Number | 1457907594
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Entity Type | Individual
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Provider Name | MS. MONIQUE MERRITT ROMICK
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Gender | Female
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 806 MANHATTAN BEACH BLVD STE 103
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-4960
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Country | US
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Telephone | 562-270-5041
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1175
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City | TORRANCE
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State | CA
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Zip | 90505-0175
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Country | US
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Telephone |
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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 | LMFT141084
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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