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General NPI Number Information
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NPI Number | 1528574019
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Entity Type | Organization
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Legal Business Name | JORI ADLER MARRIAGE & FAMILY THERAPY PROF. CORP.
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1460 7TH ST STE 300
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City | SANTA MONICA
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State | CA
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Zip | 90401-2632
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Country | US
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Telephone | 310-569-3404
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Fax |
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Provider Business Mailing Address
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Address Line | 1319 HARVARD ST APT D
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City | SANTA MONICA
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State | CA
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Zip | 90404-2436
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Country | US
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Telephone | 310-569-3404
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JORI ADLER
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Credential |
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Telephone | 310-569-3404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 84051
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License Number State | CA
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