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General NPI Number Information
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NPI Number | 1942786777
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Entity Type | Organization
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Legal Business Name | STRENGTH EMPOWERED MENTAL HEALTH
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Dates
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Enumeration Date | 07/15/2018
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Last Update Date | 07/15/2018
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Provider Practice Location Address
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Address Line | 1305 E PALMDALE BLVD STE 6
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City | PALMDALE
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State | CA
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Zip | 93550-4853
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Country | US
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Telephone | 661-388-0175
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Fax | 888-216-8194
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Provider Business Mailing Address
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Address Line | 1305 E PALMDALE BLVD SUITE 6
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City | PALMDALE
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State | CA
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Zip | 93550-4853
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Country | US
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Telephone | 661-388-0175
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Fax | 888-216-8194
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Authorized Official
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Title or Position | THERAPIST
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Name | MR. ADRIAN RODRIGUEZ
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Credential | LMFT
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Telephone | 661-388-0175
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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 | 102813
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 104136
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License Number State | CA
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