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General NPI Number Information
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NPI Number | 1467655043
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Entity Type | Individual
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Provider Name | JOHN DAVID SERATA M.A. MFT
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Gender | Male
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11712 MOORPARK ST SUITE 108
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City | STUDIO CITY
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State | CA
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Zip | 91604-2154
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Country | US
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Telephone | 818-796-4201
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Fax |
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Provider Business Mailing Address
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Address Line | 11024 BALBOA BLVD # 313
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City | GRANADA HILLS
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State | CA
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Zip | 91344-5007
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Country | US
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Telephone | 818-631-3062
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Fax | 818-366-0370
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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 | MFC 40494
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License Number State | CA
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