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General NPI Number Information
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NPI Number | 1972644946
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Entity Type | Organization
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Legal Business Name | PARTNERS IN RECOVERY
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Dates
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Enumeration Date | 02/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1433 E ROUTE 66 SUITE E
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City | GLENDORA
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State | CA
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Zip | 91740-3747
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Country | US
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Telephone | 626-963-3337
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Fax |
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Provider Business Mailing Address
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Address Line | 1433 E ROUTE 66 SUITE E
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City | GLENDORA
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State | CA
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Zip | 91740-3747
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Country | US
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Telephone | 626-963-3337
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JUDY OLSEN MCGEHEE
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Credential | LICENSED MFT
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Telephone | 626-963-3337
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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 | MFC 32546
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License Number State | CA
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