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General NPI Number Information
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NPI Number | 1679333512
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Entity Type | Individual
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Provider Name | MAYA DALEY
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Gender | Female
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1 SEA HAWK WAY
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City | REDONDO BEACH
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State | CA
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Zip | 90277-2976
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Country | US
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Telephone | 310-798-8665
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Fax |
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Provider Business Mailing Address
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Address Line | 2622 W 78TH PL
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City | INGLEWOOD
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State | CA
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Zip | 90305-1024
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Country | US
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Telephone | 323-533-0949
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 156067
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 156067
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License Number State | CA
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