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General NPI Number Information
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NPI Number | 1790227593
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Entity Type | Individual
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Provider Name | NATALIE MARIE FERBEZAR ASW
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Gender | Female
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Dates
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Enumeration Date | 11/09/2016
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Last Update Date | 05/22/2019
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Provider Practice Location Address
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Address Line | 4969 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-5813
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Country | US
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Telephone | 213-286-0324
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Fax |
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Provider Business Mailing Address
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Address Line | 7986 DAGGET ST
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City | SAN DIEGO
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State | CA
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Zip | 92111-2321
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Country | US
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Telephone | 858-262-8504
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 72196
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License Number State | CA
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