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General NPI Number Information
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NPI Number | 1609523554
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Entity Type | Organization
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Legal Business Name | JEAN LAMPERT MARRIAGE & FAMILY THERAPY INC
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 5210 RADCLIFF ST
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City | VENTURA
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State | CA
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Zip | 93003-2134
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Country | US
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Telephone | 805-223-5219
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6538
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City | VENTURA
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State | CA
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Zip | 93006-6538
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Country | US
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Telephone | 805-223-5219
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JEAN LAMPERT
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Credential |
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Telephone | 805-223-5219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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