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General NPI Number Information
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NPI Number | 1497987622
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Entity Type | Organization
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Legal Business Name | FAMILY STRESS CENTER
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Dates
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Enumeration Date | 08/21/2009
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Last Update Date | 08/21/2009
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Provider Practice Location Address
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Address Line | 16861 PARTHENIA ST
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City | NORTHRIDGE
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State | CA
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Zip | 91343-4539
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Country | US
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Telephone | 818-830-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 KELTON AVE APT. #111
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City | LOS ANGELES
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State | CA
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Zip | 90024-5465
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Country | US
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Telephone | 310-961-1268
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF TRAINING
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Name | JENNIFER CARMONA
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Credential |
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Telephone | 818-830-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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