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General NPI Number Information
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NPI Number | 1952626897
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Entity Type | Individual
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Provider Name | LIZBETH ANN CHENIK LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/04/2010
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 44100 MONTEREY AVE STE 216M
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City | PALM DESERT
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State | CA
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Zip | 92260-2718
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Country | US
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Telephone | 760-834-8956
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Fax | 760-340-2846
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Provider Business Mailing Address
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Address Line | 44100 MONTEREY AVE STE 216M
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City | PALM DESERT
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State | CA
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Zip | 92260-2718
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Country | US
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Telephone | 760-834-8956
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Fax | 760-340-3846
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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 | LMFT51305
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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 | 51305
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License Number State | CA
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