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General NPI Number Information
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NPI Number | 1699806695
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Entity Type | Organization
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Legal Business Name | SANDRA DAWSON, MA, MFT, MARRIAGE & FAMILY COUNSELING, APC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4077 GLENCOE AVE #109
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5870
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Country | US
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Telephone | 310-291-2201
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Fax | 432-206-6112
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Provider Business Mailing Address
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Address Line | 4077 GLENCOE AVE #109
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5870
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Country | US
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Telephone | 310-291-2201
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Fax | 432-206-6112
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SANDRA DAWSON
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Credential | MA, MFT
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Telephone | 310-291-2201
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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 | MFC35360
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License Number State | CA
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