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General NPI Number Information
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NPI Number | 1700272713
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Entity Type | Individual
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Provider Name | SHONTELL TURNTINE
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Gender | Female
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Dates
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Enumeration Date | 04/07/2015
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 8810 JAMACHA BLVD STE C #199
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City | SPRING VALLEY
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State | CA
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Zip | 91977-9197
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Country | US
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Telephone | 619-273-3643
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Fax |
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Provider Business Mailing Address
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Address Line | 8810 JAMACHA BLVD STE C #199
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City | SPRING VALLEY
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State | CA
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Zip | 91977-2411
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Country | US
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Telephone | 619-273-3643
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 73978
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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 | 73978
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 106665
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License Number State | CA
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