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General NPI Number Information
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NPI Number | 1982276986
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Entity Type | Organization
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Legal Business Name | ELIZABETH FOLIE MARRIAGE AND FAMILY THERAPIST
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Dates
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Enumeration Date | 07/11/2021
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Last Update Date | 07/11/2021
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Provider Practice Location Address
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Address Line | 444 N LARCHMONT BLVD STE 102
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City | LOS ANGELES
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State | CA
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Zip | 90004-3030
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Country | US
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Telephone | 424-291-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 525 N SYCAMORE AVE APT 225
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City | LOS ANGELES
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State | CA
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Zip | 90036-2056
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Country | US
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Telephone | 845-596-9053
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH ROSE FOLIE
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Credential | LMFT
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Telephone | 845-596-9053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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