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General NPI Number Information
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NPI Number | 1720404429
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Entity Type | Individual
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Provider Name | STEVEN ALAN URIBE LMFT
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Gender | Male
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Dates
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Enumeration Date | 03/05/2014
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 8170 BEVERLY BLVD SUITE #200
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City | LOS ANGELES
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State | CA
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Zip | 90048-4524
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Country | US
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Telephone | 323-852-1262
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Fax | 818-760-7667
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Provider Business Mailing Address
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Address Line | 8170 BEVERLY BLVD SUITE #200
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City | LOS ANGELES
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State | CA
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Zip | 90048-4524
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Country | US
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Telephone | 323-852-1262
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Fax | 818-760-7667
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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 | MFC17634
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License Number State | CA
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