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General NPI Number Information
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NPI Number | 1992011811
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Entity Type | Individual
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Provider Name | TIMOTHY SCHLENSKER M.A.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 285 IMPERIAL HWY STE 104
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City | FULLERTON
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State | CA
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Zip | 92835-1048
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Country | US
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Telephone | 657-246-2446
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Fax |
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Provider Business Mailing Address
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Address Line | 7844 ELDEN AVE
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City | WHITTIER
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State | CA
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Zip | 90602-2626
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Country | US
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Telephone |
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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 | IMF62082
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT88807
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License Number State | CA
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