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General NPI Number Information
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NPI Number | 1518273390
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Entity Type | Individual
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Provider Name | NATALIA F WINGERT LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/31/2010
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Last Update Date | 03/21/2017
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Provider Practice Location Address
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Address Line | 2001 S BARRINGTON AVE STE 215
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City | LOS ANGELES
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State | CA
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Zip | 90025-5385
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Country | US
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Telephone | 626-290-4112
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 WILSHIRE BLVD APT 2010
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City | LOS ANGELES
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State | CA
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Zip | 90017-1916
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Country | US
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Telephone | 626-290-4112
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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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 | LMFT 94337
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License Number State | CA
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