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General NPI Number Information
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NPI Number | 1962973263
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Entity Type | Organization
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Legal Business Name | INSPIRE COUNSELING GROUP, MARRIAGE AND FAMILY THERAPY CORP.
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Dates
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Enumeration Date | 12/12/2018
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 10718 WHITE OAK AVE STE 6
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City | GRANADA HILLS
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State | CA
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Zip | 91344-4628
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Country | US
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Telephone | 818-554-2600
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Fax | 888-728-4572
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Provider Business Mailing Address
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Address Line | 19360 RINALDI ST # 718
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City | PORTER RANCH
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State | CA
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Zip | 91326-1607
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Country | US
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Telephone | 818-554-2600
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Fax | 888-728-4572
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Authorized Official
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Title or Position | CEO
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Name | VARDUI JINGOZIAN
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Credential | LMFT
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Telephone | 818-554-2600
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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 |
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