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NPI 1992491765

NPI 1992491765 : BRIAN DUNPHEY MARRIAGE & FAMILY THERAPY INC : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1992491765
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRIAN DUNPHEY MARRIAGE & FAMILY THERAPY INC 
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Dates
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    Enumeration Date     |    04/14/2023
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    Last Update Date     |    04/14/2023
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Provider Practice Location Address
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    Address Line         |    1271 OZETA TER 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90069-1835
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    Country              |    US
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    Telephone            |    949-293-6725
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1271 OZETA TER 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90069-1835
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    Country              |    US
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    Telephone            |    949-293-6725
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PSYCHOTHERAPIST & OWNER
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    Name                 |     BRIAN X DUNPHEY 
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    Credential           |    LMFT
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    Telephone            |    949-293-6725
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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       |    
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    License Number State |    
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