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General NPI Number Information
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NPI Number | 1760162374
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Entity Type | Organization
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Legal Business Name | KIND MARRIAGE AND FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 2009 FARRELL AVE UNIT B
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City | REDONDO BEACH
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State | CA
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Zip | 90278-1816
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Country | US
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Telephone | 310-721-7591
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Fax |
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Provider Business Mailing Address
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Address Line | 8581 SANTA MONICA BLVD # 52
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4120
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Country | US
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Telephone | 310-721-7591
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANA ZIENERT KIND
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Credential |
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Telephone | 310-721-7591
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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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