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General NPI Number Information
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NPI Number | 1528567484
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Entity Type | Individual
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Provider Name | NICOLE MYERS LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 4811 EUREKA AVE STE G1
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City | YORBA LINDA
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State | CA
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Zip | 92886-3368
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Country | US
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Telephone | 714-305-0266
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Fax |
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Provider Business Mailing Address
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Address Line | 17712 CALGARY AVE
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City | YORBA LINDA
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State | CA
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Zip | 92886-3939
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Country | US
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Telephone | 714-305-0266
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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 | 84328
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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 | LF60571001
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License Number State | WA
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