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General NPI Number Information
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NPI Number | 1508374281
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Entity Type | Individual
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Provider Name | DEBORAH AGNES ANDORKA LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 3831 HUGHES AVE STE 509
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City | CULVER CITY
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State | CA
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Zip | 90232-6861
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Country | US
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Telephone | 925-282-1778
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Fax | 415-296-5299
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Provider Business Mailing Address
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Address Line | 3831 HUGHES AVE STE 509
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City | CULVER CITY
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State | CA
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Zip | 90232-6861
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Country | US
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Telephone | 925-282-1778
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Fax | 415-296-5299
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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 | 145335
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 220054610
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License Number State | CA
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