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General NPI Number Information
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NPI Number | 1881141026
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Entity Type | Organization
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Legal Business Name | MOLLY SCHAFFER, MARRIAGE & FAMILY THERAPIST, PC
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Dates
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Enumeration Date | 09/06/2016
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | 2730 WILSHIRE BLVD SUITE 250
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City | SANTA MONICA
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State | CA
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Zip | 90403-4743
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Country | US
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Telephone | 424-291-2094
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Fax |
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Provider Business Mailing Address
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Address Line | 2515 MARGUERITA AVE
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City | SANTA MONICA
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State | CA
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Zip | 90402-3113
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Country | US
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Telephone | 310-200-9859
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MOLLY SCHAFFER
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Credential | MFT
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Telephone | 424-291-2094
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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 | 93483
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License Number State | CA
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