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General NPI Number Information
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NPI Number | 1821703489
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Entity Type | Organization
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Legal Business Name | DANIELLE KUMANCHIK MARRIAGE AND FAMILY THERAPY INC
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Dates
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Enumeration Date | 01/18/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 23564 CALABASAS RD STE 208
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City | CALABASAS
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State | CA
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Zip | 91302-1339
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Country | US
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Telephone | 805-312-8675
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Fax |
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Provider Business Mailing Address
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Address Line | 21200 OXNARD ST # 6691
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-5014
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Country | US
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Telephone | 805-312-8675
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | DANIELLE KUMANCHIK
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Credential | MS
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Telephone | 805-312-8675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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