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General NPI Number Information
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NPI Number | 1548355696
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Entity Type | Organization
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Legal Business Name | LORRIN MCCORMICK LMFT INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12402 VENTURA BLVD 2ND FLOOR
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City | STUDIO CITY
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State | CA
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Zip | 91604
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Country | US
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Telephone | 818-763-0620
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Fax |
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Provider Business Mailing Address
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Address Line | 10153 1/2 RIVERSIDE DR STE 311
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City | TOLUCA LAKE
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State | CA
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Zip | 91602
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Country | US
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Telephone | 818-763-0620
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LORRIN S MCCORMICK
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Credential | LMFT
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Telephone | 818-763-0620
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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 | MFC36945
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License Number State | CA
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