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General NPI Number Information
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NPI Number | 1841748613
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Entity Type | Individual
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Provider Name | LEANNA ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 10811 WASHINGTON BLVD
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City | CULVER CITY
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State | CA
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Zip | 90232
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Country | US
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Telephone | 424-342-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 9808 VENICE BLVD STE. 505
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City | CULVER CITY
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State | CA
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Zip | 90232-2732
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Country | US
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Telephone | 310-945-3350
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Fax | 310-945-3356
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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 | 116975
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License Number State | CA
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