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General NPI Number Information
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NPI Number | 1487813242
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Entity Type | Individual
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Provider Name | LISA PIERCE MFT
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Gender | Female
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 10940 WILSHIRE BLVD STE 600
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City | LOS ANGELES
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State | CA
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Zip | 90024-3940
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Country | US
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Telephone | 310-922-9784
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Fax |
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Provider Business Mailing Address
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Address Line | 4439 FIRMAMENT AVE
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City | ENCINO
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State | CA
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Zip | 91436-3104
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Country | US
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Telephone | 310-922-9784
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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 | 44715
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License Number State | CA
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