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General NPI Number Information
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NPI Number | 1730942483
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Entity Type | Individual
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Provider Name | BONNIE KASH
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Gender | Female
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 2301 HYPERION AVE # A
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City | LOS ANGELES
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State | CA
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Zip | 90027-4711
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Country | US
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Telephone | 818-489-6052
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 S EUCLID ST STE D PO BOX 225
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City | FULLERTON
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State | CA
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Zip | 92832-2853
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Country | US
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Telephone | 818-489-6052
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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 | 100634
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License Number State | CA
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