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General NPI Number Information
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NPI Number | 1477102044
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Entity Type | Individual
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Provider Name | KAREN FRAGGI MS, AMFT
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Gender | Female
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Dates
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Enumeration Date | 09/06/2019
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Last Update Date | 09/06/2019
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Provider Practice Location Address
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Address Line | 14717 HAWTHORNE BLVD STE C
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City | LAWNDALE
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State | CA
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Zip | 90260-1580
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Country | US
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Telephone | 310-355-0432
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Fax |
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Provider Business Mailing Address
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Address Line | 13428 MAXELLA AVE # 755
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5620
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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 | 115103
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License Number State | CA
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