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General NPI Number Information
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NPI Number | 1629843529
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Entity Type | Organization
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Legal Business Name | STEVE N KOBASHIGAWA A MFT PROF CORP
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 301 E GLENOAKS BLVD STE 3
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City | GLENDALE
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State | CA
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Zip | 91207-2118
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Country | US
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Telephone | 323-251-5908
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Fax |
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Provider Business Mailing Address
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Address Line | 510 SINCLAIR AVE
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City | GLENDALE
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State | CA
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Zip | 91206-2636
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Country | US
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Telephone | 323-251-5908
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVE NOBUMASA KOBASHIGAWA
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Credential | LMFT
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Telephone | 323-645-0050
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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 |
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License Number State |
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