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General NPI Number Information
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NPI Number | 1871954875
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Entity Type | Organization
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Legal Business Name | LET'S TALK MARRIAGE & FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 11/08/2016
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Provider Practice Location Address
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Address Line | 23181 LA CADENA DR SUITE 104
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1479
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Country | US
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Telephone | 949-954-8029
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3794
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City | MISSION VIEJO
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State | CA
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Zip | 92690-3794
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | HALA R. ELSHIWICK
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Credential | M.A.
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Telephone | 949-954-8029
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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 | 91249
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License Number State | CA
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