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NPI 1609162379

NPI 1609162379 : LORNA TRINH MFT : REDLANDS, CA

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General NPI Number Information
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    NPI Number           |    1609162379
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    Entity Type          |    Individual 
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    Provider Name        |    LORNA TRINH MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2011
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    Last Update Date     |    12/30/2021
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Provider Practice Location Address
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    Address Line         |    1301 CALIFORNIA ST STE 301 
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    City                 |    REDLANDS
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    State                |    CA
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    Zip                  |    92374-2910
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    Country              |    US
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    Telephone            |    626-548-1662
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    Fax                  |    909-363-9075
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Provider Business Mailing Address
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    Address Line         |    3156 GAGE AVE 
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    City                 |    EL MONTE
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    State                |    CA
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    Zip                  |    91731-3322
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    Country              |    US
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    Telephone            |    626-548-1662
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    Fax                  |    909-363-9075
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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       |    99003
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    License Number State |    CA
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