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General NPI Number Information
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NPI Number | 1972779213
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Entity Type | Individual
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Provider Name | KAREN ANNETTE MCBRIDE MA
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Gender | Female
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 5406 E VILLAGE RD
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City | LONG BEACH
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State | CA
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Zip | 90808-1607
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Country | US
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Telephone | 562-429-6552
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Fax |
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Provider Business Mailing Address
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Address Line | 3934 ANN ARBOR RD
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City | LAKEWOOD
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State | CA
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Zip | 90712-3815
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Country | US
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Telephone | 562-425-1506
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CA LIC.MFC 30635
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License Number State | CA
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