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General NPI Number Information
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NPI Number | 1760798300
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Entity Type | Individual
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Provider Name | ALICIA LAVONNE PARTEE LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/20/2010
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Last Update Date | 05/10/2013
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Provider Practice Location Address
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Address Line | 11419 CASIMIR AVE
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City | HAWTHORNE
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State | CA
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Zip | 90250-1100
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Country | US
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Telephone | 323-365-0342
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Fax | 310-637-0473
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Provider Business Mailing Address
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Address Line | 11419 CASIMIR AVE
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City | HAWTHORNE
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State | CA
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Zip | 90250-1100
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Country | US
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Telephone | 323-365-0342
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Fax | 310-637-0473
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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 | MFC 52857
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License Number State | CA
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