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General NPI Number Information
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NPI Number | 1982019352
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Entity Type | Individual
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Provider Name | MICHAEL MAZZARINO LMFT, LAADC
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Gender | Male
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Dates
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Enumeration Date | 06/24/2014
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 5150 E PACIFIC COAST HWY STE 200
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City | LONG BEACH
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State | CA
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Zip | 90804-3399
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Country | US
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Telephone | 562-335-9497
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Fax | 657-339-3050
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Provider Business Mailing Address
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Address Line | 5150 E PACIFIC COAST HWY STE 200
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City | LONG BEACH
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State | CA
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Zip | 90804-3399
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Country | US
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Telephone | 562-335-9497
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Fax | 657-339-3050
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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 | 102259
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License Number State | CA
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