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General NPI Number Information
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NPI Number | 1871856013
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Entity Type | Individual
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Provider Name | PAUL CHIRUMBOLO MA, LMFT
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Gender | Male
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 06/22/2012
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Provider Practice Location Address
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Address Line | 1710 N. HILLHURST AVE., SUITES 202-203
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City | LOS ANGELES
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State | CA
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Zip | 90027
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Country | US
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Telephone | 323-761-6448
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 93133
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City | LOS ANGELES
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State | CA
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Zip | 90093
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Country | US
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Telephone | 323-761-6448
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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 | MFC 42253
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License Number State | CA
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