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General NPI Number Information
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NPI Number | 1841342748
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Entity Type | Individual
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Provider Name | MALINDA LEIGH ALSOP LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 05/30/2012
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Provider Practice Location Address
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Address Line | 21030 MISSION ST STE A
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City | TEHACHAPI
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State | CA
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Zip | 93561-6769
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Country | US
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Telephone | 661-822-8979
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Fax | 661-822-5729
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Provider Business Mailing Address
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Address Line | 349 HOLLY DR
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City | TEHACHAPI
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State | CA
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Zip | 93561-1848
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Country | US
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Telephone | 661-822-7333
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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 | 50076
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License Number State | CA
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