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General NPI Number Information
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NPI Number | 1790244499
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Entity Type | Organization
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Legal Business Name | JODI MILSTEIN, LMFT, INC.
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Dates
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Enumeration Date | 03/13/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 15235 BURBANK BLVD STE B2
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City | SHERMAN OAKS
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State | CA
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Zip | 91411-3556
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Country | US
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Telephone | 818-623-7222
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Fax |
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Provider Business Mailing Address
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Address Line | 13351D RIVERSIDE DR # 635
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2508
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Country | US
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Telephone | 310-678-8241
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JODI MILSTEIN
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Credential | LMFT, LPCC
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Telephone | 818-623-7222
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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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