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General NPI Number Information
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NPI Number | 1548081276
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Entity Type | Individual
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Provider Name | EFREN OLMOS LMFT
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Gender | Male
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 31194 LA BAYA DR STE 102
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-4022
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Country | US
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Telephone | 818-307-3251
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Fax |
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Provider Business Mailing Address
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Address Line | 6434 KENWATER AVE
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City | WEST HILLS
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State | CA
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Zip | 91307-3128
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Country | US
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Telephone | 818-588-2888
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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 | 149373
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License Number State | CA
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