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General NPI Number Information
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NPI Number | 1497990543
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Entity Type | Individual
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Provider Name | JENNIFER POMMERENK M.A., LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 05/20/2011
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Provider Practice Location Address
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Address Line | 43535 17TH ST W SUITE 304
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City | LANCASTER
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State | CA
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Zip | 93534-5984
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Country | US
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Telephone | 661-942-4079
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Fax | 661-942-3887
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Provider Business Mailing Address
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Address Line | 2615 RYANS PL
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City | LANCASTER
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State | CA
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Zip | 93536-5355
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Country | US
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Telephone | 661-917-2481
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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 | MFC50091
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License Number State | CA
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