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General NPI Number Information
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NPI Number | 1649512393
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Entity Type | Individual
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Provider Name | KATHRYN BIKLE M.A., M.F.T., SEP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 211 S PRIMROSE AVE
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City | MONROVIA
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State | CA
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Zip | 91016-2856
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Country | US
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Telephone | 626-755-6437
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Fax |
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Provider Business Mailing Address
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Address Line | 3235 N MOUNT CURVE AVE
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City | ALTADENA
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State | CA
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Zip | 91001-1462
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Country | US
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Telephone | 626-755-6437
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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 | MFC49324
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License Number State | CA
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