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General NPI Number Information
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NPI Number | 1770028599
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Entity Type | Organization
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Legal Business Name | LOVE COMES FIRST FAMILY THERAPY, INC
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Dates
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Enumeration Date | 01/03/2017
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Last Update Date | 01/03/2017
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Provider Practice Location Address
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Address Line | 5401 BUSINESS PARK S STE 208
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1661
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Country | US
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Telephone | 661-889-4638
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Fax | 661-748-1910
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Provider Business Mailing Address
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Address Line | 5401 BUSINESS PARK S STE 208
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1661
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Country | US
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Telephone | 661-889-4638
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Fax | 661-748-1910
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIZABETH DEETHS
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Credential | LMFT
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Telephone | 661-889-4638
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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 | 45346
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License Number State | CA
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