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General NPI Number Information
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NPI Number | 1518347160
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Entity Type | Individual
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Provider Name | VERA ELIZABETH CHELYAPOV LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 3255 CAHUENGA BLVD W STE 208
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City | LOS ANGELES
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State | CA
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Zip | 90068-1777
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Country | US
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Telephone | 310-666-9042
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Fax |
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Provider Business Mailing Address
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Address Line | 18645 HATTERAS ST UNIT 190
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City | TARZANA
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State | CA
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Zip | 91356-1834
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Country | US
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Telephone | 310-666-9042
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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 | IMF85203
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License Number State | CA
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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 | LMFT98150
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License Number State | CA
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