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General NPI Number Information
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NPI Number | 1649633801
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Entity Type | Organization
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Legal Business Name | DR. STEPHANIE RASBAND
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 1663 SAWTELLE BLVD STE 250
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City | LOS ANGELES
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State | CA
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Zip | 90025-3189
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Country | US
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Telephone | 310-479-0316
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Fax |
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Provider Business Mailing Address
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Address Line | 12021 WILSHIRE BLVD STE 667
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City | LOS ANGELES
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State | CA
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Zip | 90025-1206
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Country | US
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Telephone | 310-479-0316
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DR. STEPHANIE RASBAND
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Credential | PSYD, MFT
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Telephone | 310-479-0316
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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 | MFT31997
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License Number State | CA
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