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General NPI Number Information
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NPI Number | 1972868669
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Entity Type | Individual
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Provider Name | MS. MARJORIE GEORGE
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Gender | Female
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 2121 W. TEMPLE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90026
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Country | US
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Telephone | 213-260-7728
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 N LAKEWOOD BLVD # D-698
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City | LONG BEACH
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State | CA
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Zip | 90815-2552
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Country | US
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Telephone | 310-795-0869
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 50249
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License Number State | CA
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