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General NPI Number Information
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NPI Number | 1598577652
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Entity Type | Individual
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Provider Name | ANNA WOODMANSEE MA
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Gender |
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 200 E DEL MAR BLVD STE 160
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City | PASADENA
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State | CA
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Zip | 91105-2507
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Country | US
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Telephone | 310-400-6460
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Fax |
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Provider Business Mailing Address
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Address Line | 1212 N GOWER ST APT 103
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City | LOS ANGELES
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State | CA
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Zip | 90038-1867
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Country | US
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Telephone | 661-425-1193
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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 | 145577
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License Number State | CA
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