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General NPI Number Information
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NPI Number | 1992052971
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Entity Type | Individual
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Provider Name | JORDAN ZIPKIN LMFT
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Gender | Male
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 12/27/2020
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Provider Practice Location Address
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Address Line | 2001 S BARRINGTON AVE STE 203
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City | LOS ANGELES
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State | CA
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Zip | 90025
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Country | US
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Telephone | 310-943-9663
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 222061
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City | HOLLYWOOD
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State | FL
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Zip | 33022-2061
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Country | US
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Telephone | 561-214-4113
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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 | MT3678
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License Number State | FL
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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 | 84657
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT99954
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License Number State | CA
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