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General NPI Number Information
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NPI Number | 1528350527
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Entity Type | Individual
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Provider Name | BLAIR NICOLE BROUGHTON LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/09/2011
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 902 S MYRTLE AVE
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City | MONROVIA
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State | CA
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Zip | 91016-3427
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Country | US
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Telephone | 626-348-4129
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1642
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City | MONROVIA
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State | CA
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Zip | 91017-5642
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Country | US
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Telephone |
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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 |
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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 | 97319
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License Number State | CA
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