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General NPI Number Information
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NPI Number | 1528652906
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Entity Type | Organization
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Legal Business Name | TALK TO MICHELE FAMILY THERAPY, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 1247 7TH ST STE 200
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City | SANTA MONICA
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State | CA
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Zip | 90401-1660
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Country | US
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Telephone | 424-645-7776
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Fax |
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Provider Business Mailing Address
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Address Line | 1247 7TH ST STE 200
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City | SANTA MONICA
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State | CA
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Zip | 90401-1660
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Country | US
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Telephone | 424-645-7776
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Fax |
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Authorized Official
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Title or Position | MARRIAGE FAMILY THERAPIST
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Name | MS. MICHELE ROBIN HAHN
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Credential | JD, MFT
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Telephone | 424-645-7776
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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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