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General NPI Number Information
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NPI Number | 1932525391
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Entity Type | Individual
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Provider Name | JUDITH BESTEMAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 2140 GRAND AVE STE 215
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City | CHINO HILLS
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State | CA
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Zip | 91709-6804
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Country | US
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Telephone | 909-287-6353
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Fax |
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Provider Business Mailing Address
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Address Line | 5862 ASHLEY CT
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City | CHINO
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State | CA
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Zip | 91710-5234
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Country | US
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Telephone | 951-206-8521
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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 | LMFT 46146
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License Number State | CA
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