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General NPI Number Information
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NPI Number | 1730528555
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Entity Type | Individual
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Provider Name | KRYSTAL LANEE HANDY PH.D, LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 14500 ROSCOE BLVD STE 400
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4194
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Country | US
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Telephone | 818-741-2906
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Fax | 844-440-1915
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Provider Business Mailing Address
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Address Line | 130 W VICTORIA ST
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City | GARDENA
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State | CA
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Zip | 90248-3523
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Country | US
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Telephone | 310-715-2020
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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 |
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License Number State |
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