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General NPI Number Information
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NPI Number | 1790542033
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Entity Type | Organization
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Legal Business Name | SOMATIC HEALERS COLLECTIVE DR PAULA MILEY DSW LMFT DOCTOR OF SOCIAL WO
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 5535 BALBOA BLVD STE 202
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City | ENCINO
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State | CA
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Zip | 91316-1541
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Country | US
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Telephone | 818-975-0638
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Fax |
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Provider Business Mailing Address
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Address Line | 5535 BALBOA BLVD STE 202
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City | ENCINO
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State | CA
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Zip | 91316-1541
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Country | US
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Telephone | 818-975-0638
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/PRESIDENT
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Name | DR. PAULA MILEY
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Credential | DSW, LMFT
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Telephone | 818-975-0638
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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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