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General NPI Number Information
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NPI Number | 1487087870
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Entity Type | Individual
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Provider Name | ROSELLA YOUSEF M.ED., LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 05/06/2017
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Provider Practice Location Address
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Address Line | 2007 CEDAR AVE
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-2955
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Country | US
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Telephone | 310-489-2450
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Fax |
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Provider Business Mailing Address
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Address Line | 2007 CEDAR AVE
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-2955
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Country | US
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Telephone | 310-489-2450
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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 | MFC 46511
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | KY 103
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35001350A
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License Number State | IN
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