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General NPI Number Information
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NPI Number | 1770244089
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Entity Type | Organization
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Legal Business Name | PEREZ FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 01/08/2022
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Last Update Date | 01/08/2022
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Provider Practice Location Address
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Address Line | 2600 W OLIVE AVE FL 5
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City | BURBANK
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State | CA
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Zip | 91505-4572
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Country | US
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Telephone | 818-421-0132
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2071
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City | TOLUCA LAKE
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State | CA
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Zip | 91610-0071
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KATHERYN PEREZ
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Credential | LMFT
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Telephone | 818-421-0132
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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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