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General NPI Number Information
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NPI Number | 1639295678
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Entity Type | Individual
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Provider Name | ANA ADAL MA
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 11600 WASHINGTON PL STE 202E
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City | LOS ANGELES
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State | CA
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Zip | 90066-5068
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Country | US
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Telephone | 323-244-9613
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Fax |
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Provider Business Mailing Address
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Address Line | 1231 S ALFRED ST
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City | LOS ANGELES
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State | CA
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Zip | 90035-2534
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Country | US
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Telephone | 323-244-9613
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Fax |
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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 | 47420
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License Number State | CA
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