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General NPI Number Information
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NPI Number | 1801752845
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Entity Type | Individual
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Provider Name | DESIREE HANNAH BASL LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/03/2026
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 1150 YALE ST
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City | SANTA MONICA
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State | CA
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Zip | 90403-4738
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Country | US
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Telephone | 323-380-2168
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Fax |
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Provider Business Mailing Address
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Address Line | 1826 W 35TH AVE
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City | DENVER
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State | CO
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Zip | 80211-3009
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Country | US
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Telephone | 323-380-2168
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 126946
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License Number State | CA
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