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General NPI Number Information
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NPI Number | 1801445887
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Entity Type | Individual
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Provider Name | CORINE ALISA SEMPER
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Gender | Female
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 2750 E WASHINGTON BLVD STE 230
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City | PASADENA
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State | CA
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Zip | 91107-1449
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Country | US
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Telephone | 626-296-8900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 570083
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City | TARZANA
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State | CA
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Zip | 91357-0083
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Country | US
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Telephone | 732-979-8224
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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 | 144485
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 152340
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License Number State | CA
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