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General NPI Number Information
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NPI Number | 1952479461
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Entity Type | Organization
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Legal Business Name | SHUSTER FAMILY COUNSELING SERVICE, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1274 EAST CENTER COURT SUITE 112
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City | COVINA
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State | CA
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Zip | 91724
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Country | US
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Telephone | 626-915-1681
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Fax | 626-915-6503
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Provider Business Mailing Address
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Address Line | 1274 EAST CENTER COURT SUITE 112
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City | COVINA
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State | CA
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Zip | 91724
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Country | US
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Telephone | 626-915-1681
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Fax | 626-915-6503
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HARRY SHUSTETR
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Credential | MFT
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Telephone | 626-915-1681
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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 |
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License Number State | CA
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