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General NPI Number Information
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NPI Number | 1699287755
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Entity Type | Individual
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Provider Name | STEVE ANTON KLEIN MARRIAGE AND FAMILY
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Gender | Male
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 19725 SHERMAN WAY
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City | WINNETKA
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State | CA
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Zip | 91306-3650
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Country | US
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Telephone | 310-247-8712
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Fax |
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Provider Business Mailing Address
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Address Line | 17040 OTSEGO ST., ENCINO, CA
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City | ENCINO
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State | CA
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Zip | 91316
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Country | US
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Telephone | 818-624-1616
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MR17904
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License Number State | CA
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