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General NPI Number Information
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NPI Number | 1881953677
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Entity Type | Individual
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Provider Name | TEJE NANCY ALIBERTI MA, MFT
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Gender | Female
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Dates
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Enumeration Date | 05/14/2012
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 431 JEFFRIES RD
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City | BIG BEAR LAKE
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State | CA
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Zip | 92315
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Country | US
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Telephone | 310-995-9772
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Fax |
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Provider Business Mailing Address
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Address Line | 77-6389 KUPUNA ST
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City | KAILUA KONA
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State | HI
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Zip | 96740-2283
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Country | US
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Telephone | 310-995-9772
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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 | MFC50709
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License Number State | CA
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