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General NPI Number Information
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NPI Number | 1811391287
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Entity Type | Individual
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Provider Name | COLIN ZIEGLER
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Gender | Male
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 06/08/2021
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Provider Practice Location Address
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Address Line | 12440 IMPERIAL HWY
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City | NORWALK
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State | CA
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Zip | 90650-3177
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Country | US
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Telephone | 562-565-6373
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 E 120TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90059-3052
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Country | US
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Telephone | 213-760-5389
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 87186
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License Number State | CA
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