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General NPI Number Information
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NPI Number | 1700285277
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Entity Type | Individual
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Provider Name | SUZY DONABEDIAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 625 FAIR OAKS AVENUE SUITE 125 AND 300
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City | SOUTH PASADENA
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State | CA
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Zip | 91030
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Country | US
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Telephone | 626-441-4221
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Fax |
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Provider Business Mailing Address
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Address Line | 1768 E WOODBURY RD
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City | PASADENA
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State | CA
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Zip | 91104-1539
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Country | US
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Telephone | 626-893-4167
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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 | 99780
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License Number State | CA
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