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General NPI Number Information
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NPI Number | 1619980190
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Entity Type | Individual
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Provider Name | BONNIE BEA MCLAUGHLIN MA, MFT
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Gender | Female
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 09/04/2012
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Provider Practice Location Address
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Address Line | 41765 12TH ST W SUITE D
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City | PALMDALE
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State | CA
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Zip | 93551-1422
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Country | US
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Telephone | 661-940-4861
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Fax | 661-942-4511
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Provider Business Mailing Address
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Address Line | 41765 12TH ST W SUITE D
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City | PALMDALE
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State | CA
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Zip | 93551-1422
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Country | US
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Telephone | 661-940-4861
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Fax | 661-942-4511
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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 | MFT31478
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License Number State | CA
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