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General NPI Number Information
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NPI Number | 1699599555
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Entity Type | Individual
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Provider Name | BEN TOLPIN AMFT
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Gender | Male
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 12450 MAGNOLIA BLVD. #4425
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607-9998
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Country | US
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Telephone | 213-255-5652
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 352346
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City | LOS ANGELES
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State | CA
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Zip | 90035-8933
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Country | US
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Telephone | 310-991-2351
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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 | 146880
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License Number State | CA
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