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General NPI Number Information
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NPI Number | 1619302270
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Entity Type | Organization
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Legal Business Name | ALLIANCE FAMILY COUNSELING SERVICES
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Dates
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Enumeration Date | 09/13/2013
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 3812 SEPULVEDA BLVD SUITE 390
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City | TORRANCE
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State | CA
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Zip | 90505-2413
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Country | US
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Telephone | 310-720-9882
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Fax |
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Provider Business Mailing Address
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Address Line | 3812 SEPULVEDA BLVD SUITE 390
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City | TORRANCE
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State | CA
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Zip | 90505-2413
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Country | US
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Telephone | 310-720-9882
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. AMBER R ROBISON
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Credential | LCSW
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Telephone | 310-720-9882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS29011
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License Number State | CA
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